NPI | 1558162289 |
---|---|
Doing Business As | SIGNATURE SMILES OF PARK RIDGE |
Entity Type | Organization |
Authorized Contact | KAVEH KANDI Owner/Dentist 224-217-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-03-19 |
Last Update Date | 2025-03-19 |