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General NPI Number Information
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NPI Number | 1689329062
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Entity Type | Organization
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Legal Business Name | WESTMONT SMILES DENTAL PLLC
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 210 N CASS AVE STE D
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City | WESTMONT
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State | IL
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Zip | 60559-1769
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Country | US
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Telephone | 312-622-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E BENTON PL STE 202
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City | CHICAGO
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State | IL
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Zip | 60601-7411
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Country | US
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Telephone | 312-622-4406
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ROHI ATASSI
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Credential | DDS
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Telephone | 312-622-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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