NPI 1447988365

Sandra L Marron, RDHOMT

Practitioner Dental Hygienist Park Ridge, IL

Practice location

Address: 825 Sylviawood Ave, Park Ridge, IL 60068-2249
Phone: (773) 255-8307

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020010618 (IL)

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Registry record

NPI: 1447988365
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2022
Record last updated: 9 Aug 2022

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.