| NPI | 1679048334 |
|---|---|
| Doing Business As | PHOCUSED ON SMILES |
| Entity Type | Organization |
| Authorized Contact | PHILIP ALEXANDER CEO 708-878-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-11-30 |