Floss Dental Care Llc

NPI 1790182327 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1790182327
Enumeration Date 11/25/2014
Last Updated 01/14/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ALAN J. ALAN
Position MANAGER
Phone (630) 339-3172
Fax
Practice Location
18650 DIXIE HIGHWAY
HOMEWOOD IL, 60430, US
Phone (630) 339-3172
Fax
Business Location
18650 DIXIE HIGHWAY
HOMEWOOD IL, 60430, US
Phone
Fax
Toxanomy
Taxonomy Code 305R00000X
License State Illinois
License Number 019028140
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According to our database, Floss Dental Care Llc NPI is 1790182327, taxonomy code is 305R00000X and license number is 019028140, license state is located at Illinois. Floss Dental Care Llc physically located at 18650 Dixie Highway, Homewood IL, 60430. NPI Number 1033115704 has the healthcare provider type.

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1790182327 NPI number is provided on an as is basis without warranty of any kind. 1790182327 is maintained by the National Plan & Provider Enumeration System. The contents of Floss Dental Care Llc are for informational purposes only.