| Ora Dental Studio West Loop LLC | |
|
937 W Randolph St Chicago IL 60607-2229 | |
| (312) 491-9494 | |
| Not Available |
| Full Name | Ora Dental Studio West Loop LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 937 W Randolph St, Chicago, Illinois |
| Authorized Official Name and Position | Mladen Kralj (OWNER) |
| Authorized Official Contact | 3124919494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ora Dental Studio West Loop LLC 937 W Randolph St Chicago IL 60607-2229 Ph: (312) 491-9494 | Ora Dental Studio West Loop LLC 937 W Randolph St Chicago IL 60607-2229 Ph: (312) 491-9494 |
| NPI Number | 1427339662 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427339662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19022824 (Illinois) | Primary |
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