Individual
DR. MISTY LYNN THILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
651 W TERRA COTTA AVE, STE 121, CRYSTAL LAKE, IL 60014-3404
(815) 455-0145
(815) 444-7002
Mailing address
651 W TERRA COTTA AVE, STE 121, CRYSTAL LAKE, IL 60014-3404
(815) 455-0145
(815) 444-7002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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