White Smile, INC

NPI #1760779532 in Belvidere, Illinois

Provider Information

NPI Number
1760779532
Entity Type
Organization
Organization Name
White Smile, INC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jun 30, 2011
Last Updated
Jun 30, 2011

Practice Location

Address
121 S STATE ST
ZIP Code
61008-3628
Phone
(815) 544-2626

Authorized Official

Name
DR. HIMANSHI THAKKAR, DDS
Title
OWNER/DENTIST
Phone
(815) 544-2626

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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