The Smile Group LLC

NPI #1942621925 in Chicago, Illinois

Provider Information

NPI Number: 1942621925
Entity Type: Organization
Organization Name: The Smile Group LLC
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2013
Last Updated: Dec 18, 2013

Practice Location

Address: 111 N WABASH AVE
Address 2: SUITE 1412
City: Chicago
State: Illinois
ZIP Code: 60602-1903
Phone: (309) 282-8565

Authorized Official

Name: DR. ROBERT OWEN WOLF, DDS
Title: OWNER
Phone: (216) 973-0552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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