Individual
MRS. ANNETTE MEHREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
927 S MANNHEIM RD, WESTCHESTER, IL 60154-2565
(708) 349-1818
Mailing address
349 LAWTON RD, RIVERSIDE, IL 60546-2361
(708) 528-1313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026274
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9176256
—
IL
Enumeration date
01/22/2007
Last updated
07/08/2007
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