Individual
DINNESHIA ANNETTA MOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
USS OSBORNE DENTAL CLINIC, 3440 OHIO ST, GREAT LAKES, IL 60088
(847) 688-2100
Mailing address
4113 SKATE CT APT A, GREAT LAKES, IL 60088-1134
(256) 770-9022
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10503
TN
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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