GRACE DANE

CHAMPAIGN, IL
NPI1417820531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.016580)
Enumeration Date2025-09-25
Last Update Date2025-09-25
Business Address
GRACE DANE RDH, PHDH
201 W KENYON RD
CHAMPAIGN, IL 61820-7892
Phone number: 217-531-4279
Mailing Address
GRACE DANE RDH, PHDH
803 E FAIRVIEW DR
TUSCOLA, IL 61953-2002
Phone number: 217-531-4279
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