The Dental Loft, Llc

NPI 1235400821 - Dentist - 122300000X

NPI Details
NPI 1235400821
Enumeration Date 01/13/2012
Last Updated 08/03/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ELHAM ELHAM
Position DENTIST
Phone (708) 482-0702
Fax
Practice Location
1 W HARRIS AVE
SECOND FLOOR, SUITE A
LA GRANGE IL, 60525-2496, US
Phone (708) 482-0702
Fax
Business Location
1 W HARRIS AVE
SUITE 2A
LA GRANGE IL, 60525-2496, US
Phone (708) 482-0702
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019.027663
Remove 1235400821 NPI Number
 

According to our database, The Dental Loft, Llc NPI is 1235400821, taxonomy code is 122300000X and license number is 019.027663, license state is located at Illinois. The Dental Loft, Llc physically located at 1 W Harris Ave, La Grange IL, 60525-2496. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1235400821 NPI number is provided on an as is basis without warranty of any kind. 1235400821 is maintained by the National Plan & Provider Enumeration System. The contents of The Dental Loft, Llc are for informational purposes only.