Organization
ANDREA N. SIDLE DDS PC
Active
Other names
Crown Jewel Dental Loft
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA SIDLE DDS (DDS)
(816) 215-2904
Entity
Organization
Contact information
Practice address
840 W IRVING PARK RD STE 407, CHICAGO, IL 60613-3011
(773) 248-8581
Mailing address
840 W IRVING PARK RD STE 407, CHICAGO, IL 60613-3011
(773) 248-8581
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
08/09/2021
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