| NPI | 1851960728 |
|---|---|
| Doing Business As | HANDCRAFTED SMILES AH |
| Entity Type | Organization |
| Authorized Contact | KENNY MATEE GOMOLPLITINANT President 847-357-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-07-07 |