| NPI | 1942600523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OZZIE SMITH President/Dentist 312-994-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026734) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |