Individual
MRS. LYDIA ESQUIVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
333 S ASHLAND AVE, CHICAGO, IL 60607-2703
(312) 738-6170
Mailing address
333 S ASHLAND AVE, CHICAGO, IL 60607-2703
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020012423
IL
Other
Enumeration date
01/07/2009
Last updated
02/03/2010
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