| NPI | 1265764419 |
|---|---|
| Doing Business As | CHICAGO SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL TOMASELLI Practice Owner 312-664-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL BT 0632403) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027304) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |