| Dental Loft Kids Llc | |
|
1 W Harris Ave Ste 2a La Grange IL 60525-2497 | |
| (708) 482-0702 | |
| Not Available |
| Full Name | Dental Loft Kids Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1 W Harris Ave Ste 2a, La Grange, Illinois |
| Authorized Official Name and Position | Kiley Hirons (CO-OWNER) |
| Authorized Official Contact | 7084820702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Loft Kids Llc 1 W Harris Ave Ste 2a La Grange IL 60525-2497 Ph: (708) 482-0702 | Dental Loft Kids Llc 1 W Harris Ave Ste 2a La Grange IL 60525-2497 Ph: (708) 482-0702 |
| NPI Number | 1881168532 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881168532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Carolyn Bronke Wind Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S La Grange Rd, La Grange, IL 60525 Phone: 708-354-1335 Fax: 708-354-1336 | |
Jessica Mattern Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 W Burlington Ave, La Grange, IL 60525 Phone: 480-794-0302 | |
Angela Lebessis Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St Ste 8, La Grange, IL 60525 Phone: 708-579-1522 | |
Philip J Girgis Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4707 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-1320 Fax: 708-588-1750 | |
The Dental Loft, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 W Harris Ave, Second Floor, Suite A, La Grange, IL 60525 Phone: 708-482-0702 | |
Meera Mahajan Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4711 Willow Springs Rd, La Grange, IL 60525 Phone: 708-354-1990 Fax: 708-354-3199 | |
Nancy Donna Cozzi, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St, La Grange, IL 60525 Phone: 708-579-1522 Fax: 708-579-1523 |