Organization
FLOR D. LOYA DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOR D. LOYA-COSTABILE DDS (PRESIDENT)
(708) 344-5437
Entity
Organization
Contact information
Practice address
134 W VALLETTE ST, ELMHURST, IL 60126-4451
(708) 344-5437
(708) 344-2757
Mailing address
154 N 19TH AVE, SUITE 200, MELROSE PARK, IL 60160-3718
(708) 344-5437
(708) 344-2757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019022347
IL
1223P0221X
Pediatric Dentistry
Primary
021001646
IL
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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