BRIDGEPORT SMILES

CHICAGO, IL
NPI1528487220
Entity TypeOrganization
Authorized ContactNEEPA MODI
Owner
312-291-9283
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019026249)
Enumeration Date2014-04-09
Last Update Date2014-09-02
Business Address
BRIDGEPORT SMILES
3014 S HALSTED ST
CHICAGO, IL 60608-5805
Phone number: 312-291-9283
Mailing Address
BRIDGEPORT SMILES
3014 S HALSTED ST
CHICAGO, IL 60608-5805
Phone number: 312-291-9283
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