Organization
DEAN LODDING SMILES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN W LODDING DDS (OWNER)
(847) 697-1111
Entity
Organization
Contact information
Practice address
2001 LARKIN AVE STE 120, ELGIN, IL 60123-5808
(847) 697-1111
(847) 697-1114
Mailing address
2001 LARKIN AVENUE, SUITE 120, ELGIN, IL 60123
(847) 697-1111
(847) 697-1114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017360
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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