| NPI | 1144934142 |
|---|---|
| Doing Business As | LIFETIME DENTISTRY OF SKOKIE |
| Entity Type | Organization |
| Authorized Contact | ROBERT STITES Insurance Coordinator Decision One 630-869-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-16 |