Individual
MRS. LORETTA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9035 S WESTERN AVE, CHICAGO, IL 60620-6133
(773) 445-7777
(773) 445-7750
Mailing address
9035 S WESTERN AVE, CHICAGO, IL 60620-6133
(773) 445-7777
(773) 445-7750
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019-020966
IL
Other
Enumeration date
03/21/2007
Last updated
09/26/2007
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