# DENTAL LOFT KIDS LLC

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

## Provider details

- **NPI number:** 1881168532
- **Authorized official:** DR. KILEY HIRONS DDS (CO-OWNER)
- **Authorized official phone:** (708) 482-0702

## Contact information

- **Practice address:** 1 W HARRIS AVE STE 2A, LA GRANGE, IL 60525-2497
- **Practice address phone:** (708) 482-0702
- **Mailing address:** 1 W HARRIS AVE STE 2A, LA GRANGE, IL 60525-2497
- **Mailing address phone:** (708) 482-0702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2019
- **Last updated:** 01/16/2019