Individual
CHARLA J MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH; PHDH
Contact information
Practice address
502 SHAW AVE, PARIS, IL 61944-2352
(217) 465-2212
Mailing address
712 VANCE ST, PARIS, IL 61944-1158
(217) 663-7787
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376533513
—
IL
Enumeration date
08/04/2022
Last updated
08/04/2022
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