| Smart Dental Designers | |
|
693 S Lake St Mundelein IL 60060-3658 | |
| (847) 672-4201 | |
| (847) 672-4208 |
| Full Name | Smart Dental Designers |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 693 S Lake St, Mundelein, Illinois |
| Authorized Official Name and Position | Luis Gullermo Lopera (GENERAL DENTIST) |
| Authorized Official Contact | 8476724201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Dental Designers 693 S Lake St Mundelein IL 60060-3658 Ph: (847) 672-4201 | Smart Dental Designers 693 S Lake St Mundelein IL 60060-3658 Ph: (847) 672-4201 |
| NPI Number | 1275843799 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275843799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019026862 (Illinois) | Primary |
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