West Loop Smile Studio

NPI #1942600523 in Chicago, Illinois

Provider Information

NPI Number: 1942600523
Entity Type: Organization
Organization Name: West Loop Smile Studio
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 2, 2014
Last Updated: Sep 2, 2014

Practice Location

Address: 955 W MONROE ST
City: Chicago
State: Illinois
ZIP Code: 60607-2811
Phone: (312) 994-4460

Authorized Official

Name: DR. OZZIE SMITH III, DDS
Title: PRESIDENT/DENTIST
Phone: (312) 994-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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