| NPI | 1952322158 |
|---|---|
| Doing Business As | A HEALTHY SMILE |
| Entity Type | Organization |
| Authorized Contact | YOUNG D SONG President 847-540-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026184) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |