| 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 |