NPI 1023825114

Dinneshia Annetta Moten, DENTALHYGIENIST

Practitioner Dental Hygienist Great Lakes, IL

Practice location

Address: Uss Osborne Dental Clinic 3440 Ohio St, Great Lakes, IL 60088
Phone: (847) 688-2100
Mailing address: 4113 Skate CT APT a, Great Lakes, IL 60088-1134

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 10503 (TN)

Other Dental Hygienist providers in Illinois →

Registry record

NPI: 1023825114
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2024
Record last updated: 12 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.