Individual
DR. PATRICK MOLLOY HAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
203 E SANTA FE AVE, TOLUCA, IL 61369-0674
(815) 452-2513
(815) 452-2585
Mailing address
BOX 674, 203 E SANTA FE AVE, TOLUCA, IL 61369-0674
(815) 452-2513
(815) 452-2585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027745
IL
Other
Enumeration date
11/20/2008
Last updated
02/14/2013
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