| The Loose Tooth Pediatric Dentistry | |
|
15041 S Van Dyke Rd Suite 105 Plainfield IL 60544-5805 | |
| (815) 267-7299 | |
| Not Available |
| Full Name | The Loose Tooth Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15041 S Van Dyke Rd, Plainfield, Illinois |
| Authorized Official Name and Position | Rhiannon Michelle Holcombe (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8152677299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd Suite 105 Plainfield IL 60544-5805 Ph: (815) 267-7299 | The Loose Tooth Pediatric Dentistry 15041 S Van Dyke Rd Suite 105 Plainfield IL 60544-5805 Ph: (815) 267-7299 |
| NPI Number | 1023430360 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023430360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019027249 (Illinois) | Primary |
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