Individual
MISS SAMANTHA RAE LANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6800 MAIN ST STE 315, DOWNERS GROVE, IL 60516-3478
(630) 343-5296
Mailing address
6824 WHITE EGRET CT, TINLEY PARK, IL 60477-3974
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.013605
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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