| Smile Design, Ltd | |
|
15900 127th St Suite 211 Lemont IL 60439-2910 | |
| (630) 243-7645 | |
| (630) 243-6336 |
| Full Name | Smile Design, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15900 127th St, Lemont, Illinois |
| Authorized Official Name and Position | Horatio Dan Enacopol (OWNER) |
| Authorized Official Contact | 6302437645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design, Ltd 15900 127th St Suite 211 Lemont IL 60439-2910 Ph: (630) 243-7645 | Smile Design, Ltd 15900 127th St Suite 211 Lemont IL 60439-2910 Ph: (630) 243-7645 |
| NPI Number | 1568530251 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568530251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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