| NPI | 1972761260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE PATRICK SMITH Owner 708-386-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 01901923) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |