Individual
MRS. KATIE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
200 GARDEN ST UNIT C, YORKVILLE, IL 60560-8920
(630) 553-6565
Mailing address
200 GARDEN ST UNIT C, YORKVILLE, IL 60560-8920
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020011313
IL
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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