| NPI | 1255024147 |
|---|---|
| Doing Business As | GREAT SMILES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUAN AGUIRRE Owner/Dentist 847-277-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |