NPI | 1447264783 |
---|---|
Doing Business As | AMAZING SMILES FAMILY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ROBERT MICHAEL THIES President 708-444-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-07-29 |
Last Update Date | 2020-08-22 |