| NPI | 1447265970 |
|---|---|
| Doing Business As | GREAT SMILES DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARISMA LUAT Dentist 773-588-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 060008515) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |