# YOUR SMILE BY DESIGN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528231404
- **Authorized official:** DR. DAVID INGALLINERA D.D.S. (PRESIDENT)
- **Authorized official phone:** (773) 327-6692

## Contact information

- **Practice address:** 3939 W FULLERTON AVE, CHICAGO, IL 60647-2243
- **Practice address phone:** (773) 235-0000
- **Mailing address:** 1635 W BELMONT AVE, UNIT 708, CHICAGO, IL 60657-3047
- **Mailing address phone:** (773) 327-6692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 019025292 | IL | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 04/15/2008
