| Greenleaf Orthodontics - Park City Llc | |
|
355 Greenleaf St Ste D Park City IL 60085-5708 | |
| (262) 758-6038 | |
| (888) 475-7136 |
| Full Name | Greenleaf Orthodontics - Park City Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 355 Greenleaf St Ste D, Park City, Illinois |
| Authorized Official Name and Position | Brian Patrick Lablonde (OWNER) |
| Authorized Official Contact | 3179650810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenleaf Orthodontics - Park City Llc 355 Greenleaf St Ste D Park City IL 60085-5708 Ph: (262) 758-6038 | Greenleaf Orthodontics - Park City Llc 355 Greenleaf St Ste D Park City IL 60085-5708 Ph: (262) 758-6038 |
| NPI Number | 1962375428 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962375428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Milagros Galvez Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Greenleaf St Ste E, Park City, IL 60085 Phone: 847-249-5700 Fax: 847-249-5714 |