| Floss N Gloss Dental Pc | |
| 
					114 Lee Street Desplaines IL 60016  | |
| (224) 567-8539 | |
| (224) 567-8903 | 
| Full Name | Floss N Gloss Dental Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 114 Lee Street, Desplaines, Illinois | 
| Authorized Official Name and Position | Maritza Duran (CREDENTIALING CORDINATOR) | 
| Authorized Official Contact | 5162291441 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Floss N Gloss Dental Pc 114 Lee Street Desplaines IL 60016 Ph: (224) 567-8539  | Floss N Gloss Dental Pc 114 Lee Street Desplaines IL 60016 Ph: (224) 567-8539  | 
| NPI Number | 1982174108 | 
|---|---|
| Provider Enumeration Date | 11/30/2018 | 
| Last Update Date | 11/30/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982174108 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |