Individual
DR. MARY ELIZABETH HYDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8410 S HOLLAND RD, CHICAGO, IL 60620-6062
(773) 420-1267
Mailing address
2801 N WOLCOTT AVE UNIT O, CHICAGO, IL 60657-4159
(954) 296-8565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032192
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2019
Last updated
07/21/2022
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