| NPI | 1699446864 |
|---|---|
| Other Name | BRAND NEW SMILE |
| Entity Type | Organization |
| Authorized Contact | TIM STIRNEMAN Owner 847-854-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |