Laura J Wilson RDH

NPI 1760550248 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1760550248
Gender Female
Enumeration Date 12/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6800 MAIN ST
GROVE DENTAL SUITE 315
DOWNERS GROVE IL, 60516, US
Phone (630) 969-5350
Fax
Business Location
3119 DARWIN ST
NAPERVILLE IL, 60564, US
Phone (630) 922-8070
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Ohio
License Number 31007206
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According to our database, Mrs. Laura J Wilson RDH NPI is 1760550248, taxonomy code is 124Q00000X and license number is 31007206, license state is located at Ohio. Laura J Wilson RDH physically located at 6800 Main St, Downers Grove IL, 60516. NPI Number Laura J Wilson RDH has the Individual type.

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1760550248 NPI number is provided on an as is basis without warranty of any kind. 1760550248 is maintained by the National Plan & Provider Enumeration System. The contents of Laura J Wilson RDH are for informational purposes only.