Individual
MRS. EFFIE LAFAZANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH PHDH
Contact information
Practice address
820 EAST TERRA COTTA AVE #218/220, CRYSTAL LAKE, IL 60014
(815) 455-5490
(815) 455-5498
Mailing address
820 EAST TERRA COTTA AVE #218/220, CRYSTAL LAKE, IL 60014
(815) 455-5490
(815) 455-5498
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.011312
IL
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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