Provider Demographics
NPI:1689329062
Name:WESTMONT SMILES DENTAL PLLC
Entity Type:Organization
Organization Name:WESTMONT SMILES DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATASSI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-622-4406
Mailing Address - Street 1:333 E BENTON PL STE 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7411
Mailing Address - Country:US
Mailing Address - Phone:312-622-4406
Mailing Address - Fax:
Practice Address - Street 1:210 N CASS AVE STE D
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1769
Practice Address - Country:US
Practice Address - Phone:312-622-4406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental