Great Smile Dental Pllc

NPI #1780290676 in Deerfield, Illinois

Provider Information

NPI Number: 1780290676
Entity Type: Organization
Organization Name: Great Smile Dental Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: GREAT SMILE DENTAL PLLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 16, 2020
Last Updated: Sep 16, 2020

Practice Location

Address: 720 OSTERMAN AVE STE 304
City: Deerfield
State: Illinois
ZIP Code: 60015-4339
Phone: (847) 945-1050

Authorized Official

Name: JACQUELINE MORALES
Title: DISTRICT MANAGER
Phone: (847) 945-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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