| Kt Dental Pc | |
|
2604 Dempster St Suite 203 Park Ridge IL 60068-8412 | |
| (847) 299-1016 | |
| (847) 299-1024 |
| Full Name | Kt Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 2604 Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Kiki Tourloukis (DENTIST) |
| Authorized Official Contact | 8472991016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kt Dental Pc 2604 Dempster St Suite 203 Park Ridge IL 60068-8412 Ph: (847) 299-1016 | Kt Dental Pc 2604 Dempster St Suite 203 Park Ridge IL 60068-8412 Ph: (847) 299-1016 |
| NPI Number | 1427447010 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427447010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019022845 (Illinois) | Primary |
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