| NPI | 1023549078 |
|---|---|
| Doing Business As | SMILES OF DES PLAINES |
| Entity Type | Organization |
| Authorized Contact | HIDAYATHULLA KHAN President 224-766-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030623) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |