| NPI | 1881909927 |
|---|---|
| Doing Business As | CHICAGO AVE SMILES |
| Entity Type | Organization |
| Authorized Contact | RICHARD CHI President 773-517-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027335) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |