| 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 |