| NPI | 1962678698 |
|---|---|
| Doing Business As | BIG SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | THEODORE MICHAEL SIEGEL President 773-772-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |