| NPI | 1033704077 |
|---|---|
| Doing Business As | ONE GOOD SMILE |
| Entity Type | Organization |
| Authorized Contact | ROBERT C STITES Insurance Coordinator 630-869-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |