Dental Loft - the Loop

NPI #1083069199 in Chicago, Illinois

Provider Information

NPI Number: 1083069199
Entity Type: Organization
Organization Name: Dental Loft - the Loop
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2016
Last Updated: Apr 26, 2016

Practice Location

Address: 111 W WASHINGTON ST
Address 2: SUITE 1350
City: Chicago
State: Illinois
ZIP Code: 60602-2703
Phone: (708) 482-0702

Authorized Official

Name: DR. KILEY HIRONS, DDS
Title: CO-OWNER
Phone: (708) 482-0702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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