Organization · Type 2 NPI
Graceful Smiles Dental
Dental Clinic/Center · St. Charles, IL
NPI number
1306365234
Active
Practice location
615 S Randall Rd Ste 110
St. Charles, IL 60174-1564
Mailing address
3520 Chancery Ln
Carpentersville, IL 60110-3467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019.027466 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1306365234
Graceful Smiles Dental's National Provider Identifier is 1306365234, issued on Sep 12, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Charles, IL. The record was last updated on Sep 12, 2017.