NPI | 1174253272 |
---|---|
Doing Business As | NORTHSHORE SMILES FAMILY DENTAL CARE CENTER |
Entity Type | Organization |
Authorized Contact | LIYA KUNNASSERY Dentist/Owner 708-307-3240 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-06-13 |
Last Update Date | 2022-06-13 |