| Smile Design Dental | |
|
6278 N Cicero Ave Chicago IL 60646-4918 | |
| (773) 202-9955 | |
| (773) 202-9957 |
| Full Name | Smile Design Dental |
|---|---|
| Speciality | Clinic/center |
| Location | 6278 N Cicero Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ronnie Piro (OWNER) |
| Authorized Official Contact | 7732029955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Dental 6278 N Cicero Ave Chicago IL 60646-4918 Ph: (773) 202-9955 | Smile Design Dental 6278 N Cicero Ave Chicago IL 60646-4918 Ph: (773) 202-9955 |
| NPI Number | 1679010318 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679010318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 019025729 (Illinois) | Primary |
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