Pinehurst Smile Center Ltd.

NPI #1700136611 in Algonquin, Illinois

Provider Information

NPI Number: 1700136611
Entity Type: Organization
Organization Name: Pinehurst Smile Center Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 18, 2012
Last Updated: Sep 18, 2012

Practice Location

Address: 2182 LAKE COOK ROAD
City: Algonquin
State: Illinois
ZIP Code: 60102
Phone: (312) 656-4008

Authorized Official

Name: LENNY VIHNANEK
Title: MANAGER
Phone: (312) 656-4008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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