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Individual

ELOISE B. FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
5129 W DEVON AVE, CHICAGO, IL 60646-4217
(773) 631-5788
Mailing address
3813 LANKFORD TRL, KELLER, TX 76248-9571
(817) 741-2897
(309) 213-1411

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IL

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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