NPI | 1275204208 |
---|---|
Doing Business As | PETERSON FOREVER SMILES |
Entity Type | Organization |
Authorized Contact | LINH THUY TRAN Dentist / Owner 847-924-3979 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |