| The Dental Loft, Llc | |
|
1 W Harris Ave Second Floor, Suite A La Grange IL 60525-2496 | |
| (708) 482-0702 | |
| Not Available |
| Full Name | The Dental Loft, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1 W Harris Ave, La Grange, Illinois |
| Authorized Official Name and Position | Elham Sharaf-eldeen (DENTIST) |
| Authorized Official Contact | 7084820702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Loft, Llc 1 W Harris Ave Suite 2a La Grange IL 60525-2496 Ph: (708) 482-0702 | The Dental Loft, Llc 1 W Harris Ave Second Floor, Suite A La Grange IL 60525-2496 Ph: (708) 482-0702 |
| NPI Number | 1235400821 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235400821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.028065 (Illinois) | Primary |
| 122300000X | Dentist | 019.027663 (Illinois) | Secondary |
Carolyn Bronke Wind Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S La Grange Rd, La Grange, IL 60525 Phone: 708-354-1335 Fax: 708-354-1336 | |
Jessica Mattern Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 W Burlington Ave, La Grange, IL 60525 Phone: 480-794-0302 | |
Angela Lebessis Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St Ste 8, La Grange, IL 60525 Phone: 708-579-1522 | |
Philip J Girgis Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4707 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-1320 Fax: 708-588-1750 | |
Meera Mahajan Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4711 Willow Springs Rd, La Grange, IL 60525 Phone: 708-354-1990 Fax: 708-354-3199 | |
Nancy Donna Cozzi, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St, La Grange, IL 60525 Phone: 708-579-1522 Fax: 708-579-1523 |