| Organization Name: | SMART DENTAL DESIGNERS |
| NPI Number: | 1275843799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS GULLERMO LOPERA (GENERAL DENTIST) |
| Mailing Address: | 693 S Lake St Mundelein |
| State: | IL US |
| Postal Code: | 600603658 |
| Phone Number: | 8476724201 |
| Fax Number: | 8476724208 |
| NPI Enumeration Date: | 10/18/2010 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 019026862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |