That Certain Smile
That Certain Smile is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4511 S Lake Park Ave 1NChicago, IL 60653-1461
Phone: (708) 218-3296
Fax: (708) 575-0401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1396958864 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tina Harris — Owner · (708) 218-3296 |
| NPI enumerated | May 8, 2007 |
| Last updated in NPPES | December 26, 2013 |
| Mailing address | 4511 S Lake Park Ave 1n, Chicago, IL 60653-1461 |
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