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Individual

MRS. CYNTHIA ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
5TH & ROSSEVELT RD., BLDG. 200 C129, HINES, IL 60141
(708) 202-8387
(708) 202-2332
Mailing address
114 EL DORADO CT, MINOOKA, IL 60447-9348
(815) 467-2012

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IL

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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