Organization
GRAND DENTISTRY LOOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC A MCLEAN DMD (DENTIST/CO-OWNER)
(815) 260-3729
Entity
Organization
Contact information
Practice address
120 W MADISON ST LOWR LEVEL, CHICAGO, IL 60602-4103
(312) 955-9020
Mailing address
120 W MADISON ST LOWR LEVEL, CHICAGO, IL 60602-4103
(312) 955-9020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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