Individual
MS. SUSAN P AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2 E 22ND ST, LOMBARD, IL 60148
(630) 627-4680
Mailing address
2109 S BRISTOL AVE, WESTCHESTER, IL 60154
(708) 231-8448
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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