NPI 1790845246
Susan P Avalos, RDH
Practice location
- Address
- 2 E 22nd St, Lombard, IL 60148
- Phone
- (630) 627-4680
- Mailing address
- 2109 S Bristol Ave, Westchester, IL 60154
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1790845246
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Dec 2006
- Record last updated
- 8 Jul 2007
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.