# FLOR D. LOYA DDS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669752515
- **Authorized official:** DR. FLOR D. LOYA-COSTABILE DDS (PRESIDENT)
- **Authorized official phone:** (708) 344-5437

## Contact information

- **Practice address:** 134 W VALLETTE ST, ELMHURST, IL 60126-4451
- **Practice address phone:** (708) 344-5437
- **Practice address fax:** (708) 344-2757
- **Mailing address:** 154 N 19TH AVE, SUITE 200, MELROSE PARK, IL 60160-3718
- **Mailing address phone:** (708) 344-5437
- **Mailing address fax:** (708) 344-2757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 019022347 | IL | — |
| 1223P0221X | Pediatric Dentistry | 021001646 | IL | Yes |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 08/24/2011