Individual
JILL GUILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
Mailing address
28 COLTON LN, STAR LAKE, NY 13690-3120
(315) 323-8714
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025786
NY
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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