| NPI | 1578810941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SMYTH Dentist/Owner 847-276-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019020335) |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2012-08-05 |