NPI | 1871984708 |
---|---|
Doing Business As | SMILES PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LESLEE RUTHERFORD Pediatric Dentist Owner 312-487-1787 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019026451) |
Enumeration Date | 2015-02-13 |
Last Update Date | 2015-02-13 |