Organization
FLOSS AND ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBORIO PADULA (DIRECTOR)
(773) 424-6401
Entity
Organization
Contact information
Practice address
7108 W ARCHER AVE, CHICAGO, IL 60638-2204
(773) 424-6401
(888) 389-5750
Mailing address
7108 W ARCHER AVE, CHICAGO, IL 60638-2204
(773) 424-6401
(888) 389-5750
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002476
IL
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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