Individual
MARTHA TOBIAS-CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(773) 388-1600
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.012472
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020.012472
—
IL
Enumeration date
08/30/2022
Last updated
08/30/2022
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