DESTENII THOMAS ANDERSON

CHICAGO, IL
NPI1942808407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020015899)
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
DESTENII THOMAS ANDERSON RDH
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number: 773-268-7600
Mailing Address
DESTENII THOMAS ANDERSON RDH
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number: 773-268-7600