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 |