# SMILE DESIGN DENTAL

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

## Provider details

- **NPI number:** 1679010318
- **Authorized official:** RONNIE PIRO D.M.D (OWNER)
- **Authorized official phone:** (773) 202-9955

## Contact information

- **Practice address:** 6278 N CICERO AVE, CHICAGO, IL 60646-4918
- **Practice address phone:** (773) 202-9955
- **Practice address fax:** (773) 202-9957
- **Mailing address:** 6278 N CICERO AVE, CHICAGO, IL 60646-4918
- **Mailing address phone:** (773) 202-9955
- **Mailing address fax:** (773) 202-9957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 019025729 | IL | Yes |

## Other

- **Enumeration date:** 01/19/2017
- **Last updated:** 01/19/2017