Organization
DENTAL DESIGN GROUP, INC
Active
Other names
Smile Designers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN VILLANUEVA (MANAGER)
(630) 355-9010
Entity
Organization
Contact information
Practice address
1000 E OGDEN AVE, NAPERVILLE, IL 60563-8616
(630) 355-9010
(630) 355-9926
Mailing address
1000 E OGDEN AVE, NAPERVILLE, IL 60563-8616
(630) 355-9010
(630) 355-9926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-022779
IL
1223G0001X
General Practice Dentistry
019-025099
IL
1223P0300X
Periodontics
021-002028
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021-001200
IL
Other
Enumeration date
05/07/2007
Last updated
06/19/2013
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