| NPI | 1881102473 |
|---|---|
| Doing Business As | PORTER SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | AHMAD MILLWALA Partner/Owner 773-732-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |