Smith, Loretta A
Smith, Loretta A is an sole proprietor health care provider with primary practice located at 9035 S Western Ave , Chicago IL 60620-6133. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Smith, Loretta A can be contacted via phone (773) 445-7777.Contact Information
Primary practice address
9035 S Western Ave
Chicago IL 60620-6133
Phone: (773) 445-7777
Fax: (773) 445-7750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 019-020966 | Illinois |
Profile Details
NPI number | 1346365731 |
---|---|
LBN Legal business name | Smith, Loretta A |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2007 |
Last updated | Sep 26th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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