NPI | 1043965866 |
---|---|
Doing Business As | IN THE LOOP DENTAL |
Entity Type | Organization |
Authorized Contact | KATRINA LOUISE BAEVERSTAD Dentist 312-609-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-02-21 |