# JUST KIDS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chicago Smile Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316110596
- **Authorized official:** MS. MAGGIE PENSADO (OFFICE MANGER)
- **Authorized official phone:** (773) 772-2545

## Contact information

- **Practice address:** 3021 W ARMITAGE AVE, CHICAGO, IL 60647-6569
- **Practice address phone:** (773) 772-2545
- **Practice address fax:** (773) 772-2555
- **Mailing address:** 3021 W ARMITAGE AVE, CHICAGO, IL 60647-6569
- **Mailing address phone:** (773) 772-2545
- **Mailing address fax:** (773) 772-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019-025566 | IL | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 11/06/2013