NPI | 1437456712 |
---|---|
Doing Business As | LAKEVIEW SMILES |
Entity Type | Organization |
Authorized Contact | GRACE H LEE Dentist/Owner 773-929-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.026497) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2011-02-22 |