Individual
DR. JONELLE MARIAH DOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10065 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 469-0707
(815) 469-0704
Mailing address
10065 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 469-0707
(815) 469-0704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030823
IL
Other
Enumeration date
07/24/2016
Last updated
07/24/2016
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