KLEAN SMILES SOUTHPORT PLLC

CHICAGO, IL
NPI1689569931
Entity TypeOrganization
Authorized ContactNILAY PATEL
Owner
269-348-5758
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-06-09
Last Update Date2025-06-09
Business Address
KLEAN SMILES SOUTHPORT PLLC
3712 N SOUTHPORT AVE
CHICAGO, IL 60613-6889
Phone number: 269-348-5758
Mailing Address
KLEAN SMILES SOUTHPORT PLLC
313 W WOLF POINT PLZ UNIT 4302
CHICAGO, IL 60654-8913
Phone number: 269-348-5758
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