| NPI | 1487280202 |
|---|---|
| Doing Business As | SMILE360CHICAGO |
| Entity Type | Organization |
| Authorized Contact | MUSTAFA SALAM Dentist/Owner 773-338-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |