| NPI | 1225100597 |
|---|---|
| Former Legal Business Name | JOLIET SMILE WORLD, INC. |
| Entity Type | Organization |
| Authorized Contact | J H ROSEN President 815-741-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |