Individual
DANIELLE ANN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6816 S LAFAYETTE AVE, BARTONVILLE, IL 61607-8953
(309) 267-4779
Mailing address
6816 S LAFAYETTE AVE, BARTONVILLE, IL 61607-8953
(309) 267-4779
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020014960
IL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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