Individual
AMANDA N HUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
2900 GENEVA LN, LAKE IN THE HILLS, IL 60156-6372
(630) 903-4282
Mailing address
2900 GENEVA LN, LAKE IN THE HILLS, IL 60156-6372
(630) 903-4282
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020015893
IL
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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