Individual
DIANA ELIZABETH TERUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4720 N LINCOLN AVE, CHICAGO, IL 60625-2010
(773) 739-2402
Mailing address
5142 N SAINT LOUIS AVE, CHICAGO, IL 60625-5509
(773) 208-2271
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020011445
IL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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