The Loose Tooth Pediatric Dentistry
NPI #1023430360 in Plainfield, Illinois
Provider Information
- NPI Number
- 1023430360
- Entity Type
- Organization
- Organization Name
- The Loose Tooth Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 6, 2014
- Last Updated
- Mar 24, 2015
Practice Location
- Address
- 15041 S VAN DYKE RD
- Address 2
- SUITE 105
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60544-5805
- Phone
- (815) 267-7299
Authorized Official
- Name
- DR. RHIANNON MICHELLE HOLCOMBE, DDS, MS
- Title
- PEDIATRIC DENTIST
- Phone
- (815) 267-7299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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