Organization
NORMA L. GRAVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA GRAVES (REGISTERED DENTAL HYGIENIST)
(815) 671-3174
Entity
Organization
Contact information
Practice address
1001 NEUFAIRFIELD DR, JOLIET, IL 60432-0736
(815) 671-3174
Mailing address
1001 NEUFAIRFIELD DR, JOLIET, IL 60432-0736
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020015595
IL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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