Organization
FLOSS N GLOSS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA DURAN (CREDENTIALING CORDINATOR)
(516) 229-1441
Entity
Organization
Contact information
Practice address
114 LEE STREET, DESPLAINES, IL 60016
(224) 567-8539
(224) 567-8903
Mailing address
114 LEE STREET, DESPLAINES, IL 60016
(224) 567-8539
(224) 567-8903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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