JUSTIN ROSS REYES

CHICAGO, IL
NPI1801309828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.014285)
Enumeration Date2017-11-13
Last Update Date2017-11-13
Business Address
JUSTIN ROSS REYES RDH
1015 W LAWRENCE AVE FL 2
CHICAGO, IL 60640-5017
Phone number: 773-275-2586
Mailing Address
JUSTIN ROSS REYES RDH
6340 CAPULINA AVE APT 3D
MORTON GROVE, IL 60053-2896
Phone number: 312-487-6668