Individual
DR. MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5669 W 95TH ST, OAK LAWN, IL 60453-2382
(708) 425-5300
(708) 229-2556
Mailing address
5669 W 95TH ST, OAK LAWN, IL 60453-2382
(708) 425-5300
(708) 229-2556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030333
IL
Other
Enumeration date
02/05/2007
Last updated
02/11/2022
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