NPI | 1568919025 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT G SMORON Doctor, Owner, President 847-255-2526 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002000) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |