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 |