| NPI | 1568071827 |
|---|---|
| Doing Business As | GREAT SMILE DENTAL PLLC |
| Doing Business As | GREAT SMILE DENTAL LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MORALES District Manager 847-945-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-09-16 |