Star Smiles Orthodontics and Pediatric Dentistry
Star Smiles Orthodontics and Pediatric Dentistry is a Dental Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
3012 W Fullerton AveChicago, IL 60647-2940
Phone: (773) 384-3500
Fax: (773) 384-3963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019028920 (IL) |
|---|
Record details
| NPI number | 1013347160 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andre Jham — Orthodontics · (773) 384-3500 |
| NPI enumerated | November 26, 2013 |
| Last updated in NPPES | November 26, 2013 |
| Mailing address | 3012 W Fullerton Ave, Chicago, IL 60647-2940 |
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