LYDIA JAEL DEJONGE

OAK LAWN, IL
NPI1164042198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IL  019.032838)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
1223P0221X Dentist, Pediatric Dentistry
(Licence: IL  021.003285)
Enumeration Date2020-04-20
Last Update Date2023-10-24
Business Address
LYDIA JAEL DEJONGE DDS
6305 W 95TH ST STE 200
OAK LAWN, IL 60453-2795
Phone number: 708-424-1300
Mailing Address
LYDIA JAEL DEJONGE DDS
6305 W 95TH ST STE 200
OAK LAWN, IL 60453-2795
Phone number: 708-424-1300