Organization
FELICIA S MATA DMD LTD
Active
Parent organization
LOOP DENTAL CARE LLC.
Other names
Windsor I Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOOP DENTAL CARE LLC.
Authorized official
DR. FELICIA S MATA DMD (PRESIDENT)
(847) 244-7340
Entity
Organization
Contact information
Practice address
501 N RIVERSIDE DR, STE 119 WINDSOR I DENTAL CARE, GURNEE, IL 60031
(847) 244-7340
(847) 244-7390
Mailing address
501 N RIVERSIDE DR, STE 119 WINDSOR I DENTAL CARE, GURNEE, IL 60031
(847) 244-7340
(847) 244-7390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024302
IL
Other
Enumeration date
11/01/2006
Last updated
07/12/2012
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