| NPI | 1962078287 |
|---|---|
| Doing Business As | HOLLYWOOD SMILE LTD |
| Entity Type | Organization |
| Authorized Contact | INNA SOKOLOV President 773-370-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |