| 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 |