NPI | 1770850653 |
---|---|
Doing Business As | TREASURED SMILES ADULT AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL PAUL KASPER Licensed Dentist 815-426-0016 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 248000318) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2020-10-27 |