Provider Demographics
NPI:1598996373
Name:MILAGROS GALVEZ DDS PC
Entity Type:Organization
Organization Name:MILAGROS GALVEZ DDS PC
Other - Org Name:BEAUTIFUL SMILES DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILAGRITOS
Authorized Official - Middle Name:EDITH
Authorized Official - Last Name:CAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-249-5700
Mailing Address - Street 1:355 GREENLEAF ST STE E
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5708
Mailing Address - Country:US
Mailing Address - Phone:847-249-5700
Mailing Address - Fax:847-249-5714
Practice Address - Street 1:355 GREENLEAF ST STE E
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:IL
Practice Address - Zip Code:60085-5708
Practice Address - Country:US
Practice Address - Phone:847-249-5700
Practice Address - Fax:847-249-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019024591122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty