| Shining Smiles Wheaton Inc. | |
|
225 Rice Lake Sq Wheaton IL 60189-2136 | |
| (630) 343-7002 | |
| Not Available |
| Full Name | Shining Smiles Wheaton Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 225 Rice Lake Sq, Wheaton, Illinois |
| Authorized Official Name and Position | Milad Nourahmadi (PRESIDENT) |
| Authorized Official Contact | 3122172223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Smiles Wheaton Inc. 210 N Bolingbrook Dr Bolingbrook IL 60440-2386 Ph: (312) 217-2223 | Shining Smiles Wheaton Inc. 225 Rice Lake Sq Wheaton IL 60189-2136 Ph: (630) 343-7002 |
| NPI Number | 1184198038 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184198038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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