| NPI | 1669656195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DEAN SMITH Dentist/ Co Owner 773-899-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027154) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |