DOROTHY ANNE BLACK

BOLINGBROOK, IL
NPI1255409819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020007037)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
Mrs. DOROTHY ANNE BLACK RDH
406 BOUGHTON RD B
BOLINGBROOK, IL 60440
Phone number: 630-759-8940
Mailing Address
Mrs. DOROTHY ANNE BLACK RDH
1603 TIMBERLINE DR
JOLIET, IL 60431
Phone number: 815-254-9565
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