Shining Smiles LLC

NPI #1972816650 in Bolingbrook, Illinois

Provider Information

NPI Number
1972816650
Entity Type
Organization
Organization Name
Shining Smiles LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 22, 2010
Last Updated
Jul 22, 2010

Practice Location

Address
210 N BOLINGBROOK DR
ZIP Code
60440-2386
Phone
(312) 217-2223

Authorized Official

Name
DR. MILAD NOURAHMADI NOURAHMADI, D.D.S.
Title
PRESIDENT
Phone
(312) 217-2223

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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