| NPI | 1407681810 |
|---|---|
| Doing Business As | PALOS SMILES |
| Entity Type | Organization |
| Authorized Contact | AYESHA KHAN Co Owner 773-750-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |