NPI 1053865865

Gina Marie Misch, RDH

Practitioner Dental Hygienist Chicago, IL

Practice location

Address: 6535 W 60th St, Chicago, IL 60638-3313
Phone: (312) 206-9480

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020-007937 (IL)

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Registry record

NPI: 1053865865
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2016
Record last updated: 9 Aug 2016

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.