The Dental Loft, LLC

NPI #1235400821 in La Grange, Illinois

Provider Information

NPI Number: 1235400821
Entity Type: Organization
Organization Name: The Dental Loft, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 13, 2012
Last Updated: Aug 3, 2015

Practice Location

Address: 1 W HARRIS AVE
Address 2: SECOND FLOOR, SUITE A
City: La Grange
State: Illinois
ZIP Code: 60525-2496
Phone: (708) 482-0702

Authorized Official

Name: DR. ELHAM SHARAF-ELDEEN, DMD
Title: DENTIST
Phone: (708) 482-0702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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