NPI | 1194999375 |
---|---|
Doing Business As | SMILES OF NAPERVILLE |
Entity Type | Organization |
Authorized Contact | PRASAD GONAVARUM President 630-718-1901 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |