Individual
RICHARD FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
(847) 688-2100
Mailing address
42 FARMSIDE DR, PEMBROKE, MA 02359-1727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33479
TX
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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