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Organization
KATRINA BAEVERSTAD DDS LLC
Active
Organization
KATRINA BAEVERSTAD DDS LLC
Active
Other names
In the Loop Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA LOUISE BAEVERSTAD DDS (DENTIST)
(312) 609-1300
Entity
Organization
Contact information
Practice address
111 N WABASH AVE STE 1107, CHICAGO, IL 60602-3123
(312) 609-1300
(312) 609-1306
Mailing address
111 N WABASH AVE STE 1107, CHICAGO, IL 60602-3123
(312) 609-1300
(312) 609-1306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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