Individual
MICHON LEA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
712 COLLEGE ST, GREENFIELD, IL 62044-1414
(217) 368-2921
Mailing address
712 COLLEGE ST, GREENFIELD, IL 62044-1414
(217) 368-2921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032359
IL
Other
Enumeration date
07/11/2019
Last updated
10/13/2023
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