Organization
DESIGNDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SMITH (VP OF OPERATIONS)
(630) 357-3333
Entity
Organization
Contact information
Practice address
55 S MAIN ST, SUITE 290, NAPERVILLE, IL 60540-5372
(630) 357-3333
(630) 357-3334
Mailing address
55 S MAIN ST, SUITE 290, NAPERVILLE, IL 60540-5372
(630) 357-3333
(630) 357-3334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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