| NPI | 1528767373 |
|---|---|
| Doing Business As | LAKE FOREST SMILES |
| Entity Type | Organization |
| Authorized Contact | DAVID ERIC SCHMIDT Owner/Dentist 847-234-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-07 |