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Individual

LINISHA MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2555 LINCOLN HWY, SUITE 111, OLYMPIA FIELDS, IL 60461-1936
(708) 679-0668
Mailing address
204 RICH RD, PARK FOREST, IL 60466-1612
(312) 933-6908

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028243
IL
1223G0001X
General Practice Dentistry
14301
MD
1223G0001X
General Practice Dentistry
DEN1000688
DC

Other

Enumeration date
02/05/2008
Last updated
02/28/2013
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