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MRS. DOROTHY ANNE BLACK RDH

Dental Hygienist

Bolingbrook, Illinois

Provider NPI: 1255409819

Provider Information:
MRS. DOROTHY ANNE BLACK RDH
Gender: F
Not Sole Proprietor

Practice Location:
406 BOUGHTON RD B BOLINGBROOK, IL 60440 US
Tel: 630-759-8940  Fax: 603-759-9392

Business Mailing Address:
1603 TIMBERLINE DR  JOLIET, IL 60431 US
Tel: 815-254-9565  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
IL





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