DELORA EILEEN GERHARDT

WONDER LAKE, IL
NPI1649324146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020-002934)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- DELORA EILEEN GERHARDT RDH
7424 HANCOCK DR
WONDER LAKE, IL 60097-9217
Phone number: 815-653-5141
Mailing Address
-- DELORA EILEEN GERHARDT RDH
PO BOX 172
WONDER LAKE, IL 60097-0172
Phone number: 815-653-9573