The Smile Factory Mobile Clinic LLC
NPI #1871369298 in Belleville, Illinois
Provider Information
- NPI Number
- 1871369298
- Entity Type
- Organization
- Organization Name
- The Smile Factory Mobile Clinic LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 27, 2023
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 1040 CARLYLE AVE STE 2A
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-5533
- Phone
- (618) 606-7824
Authorized Official
- Name
- SHERONTA JOHNSON
- Title
- OWNER
- Phone
- (618) 606-7824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
| Clinic/Center - Dental — Dental |
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