NPI | 1528454030 |
---|---|
Doing Business As | SMILE DESIGNERS OF WOODRIDGE |
Entity Type | Organization |
Authorized Contact | JONATHAN VILLANUEVA Practice Manager 630-324-6750 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029734) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2015-04-10 |