Organization
GREENLEAF ORTHODONTICS - PARK CITY LLC
Active
Organization
GREENLEAF ORTHODONTICS - PARK CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PATRICK LABLONDE DDS (OWNER)
(317) 965-0810
Entity
Organization
Contact information
Practice address
355 GREENLEAF ST STE D, PARK CITY, IL 60085-5708
(262) 758-6038
(888) 475-7136
Mailing address
355 GREENLEAF ST STE D, PARK CITY, IL 60085-5708
(262) 758-6038
(888) 475-7136
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
10/06/2025
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