Individual
AMANDA ABRAHAMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1506 NEWBERRY AVE, LA GRANGE PARK, IL 60526-1255
(708) 856-6034
Mailing address
1506 NEWBERRY AVE, LA GRANGE PARK, IL 60526-1255
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020011329
IL
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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