| NPI | 1871373787 |
|---|---|
| Doing Business As | FLOSS ACADEMY PEDIATRIC DENTISTRY & TONGUE-TIE CENTER |
| Entity Type | Organization |
| Authorized Contact | DERIC TRUSKOSKI Manager 815-830-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-10-26 |