| 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 |