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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