| NPI | 1679980924 |
|---|---|
| Doing Business As | OLD ORCHARD SMILES |
| Entity Type | Organization |
| Authorized Contact | TONI ELLIS WOLF President 847-673-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019016875) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |