Individual
DR. JOHN A LOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 E OGDEN AVE, SUITE 132, HINSDALE, IL 60521-3633
(630) 323-9540
(630) 323-9545
Mailing address
201 E OGDEN AVE, SUITE 132, HINSDALE, IL 60521-3633
(630) 323-9540
(630) 323-9545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-18245
IL
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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