MOLLY FUNK BIRSA

BOLINGBROOK, IL
NPI1962570523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020009572)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
Mrs. MOLLY FUNK BIRSA RDH
406 W BOUGHTON SUITE B
BOLINGBROOK, IL 60440
Phone number: 630-759-8940
Mailing Address
Mrs. MOLLY FUNK BIRSA RDH
22540 RESERVE CIRCLE
PLAINFIELD, IL 60544
Phone number: 815-254-1160
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