Floss N Gloss Dental PC
Dentist, General Practice in Desplaines, IL. Organization (NPI-2).
NPI number1982174108
StatusActive
Last updated in NPPESNov 30, 2018
Details
- NPI
- 1982174108
- Entity type
- Organization (NPI-2)
- Legal business name
- Floss N Gloss Dental PC
- Organization subpart
- No
- Enumeration date
- Nov 30, 2018
- Last updated
- Nov 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
114 Lee StreetDesplaines, IL 60016
Phone 224-567-8539 · Fax 224-567-8903
Mailing address
114 Lee StreetDesplaines, IL 60016
Phone 224-567-8539 · Fax 224-567-8903
Authorized official
Maritza Duran
Credentialing Cordinator
5162291441
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