Organization
SCOTT G SMORON DDS MSD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT G SMORON DDS MSD (DOCTOR, OWNER, PRESIDENT)
(847) 255-2526
Entity
Organization
Contact information
Practice address
421 W. PROSPECT AVE., MOUNT PROSPECT, IL 60056
(847) 255-2526
Mailing address
421 W. PROSPECT AVE., MOUNT PROSPECT, IL 60056
(847) 255-2526
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002000
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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