Individual
MRS. MICHELLE LEE CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDH
Contact information
Practice address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
(217) 352-7961
(217) 531-4330
Mailing address
802 W HIGH ST, FARMER CITY, IL 61842-9799
(217) 489-2603
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.007951
IL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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