NPI | 1780492959 |
---|---|
Doing Business As | SMILE GLEN ELLYN |
Entity Type | Organization |
Authorized Contact | JESSICA LYNN GIBBS Dentist/Owner 630-452-1281 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-12-20 |
Last Update Date | 2024-12-31 |