Individual
MRS. MICHAELA NICHOLE REICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHRDH
Contact information
Practice address
1115 MORGAN ST, CARLINVILLE, IL 62626-1438
(217) 854-3692
(217) 930-2293
Mailing address
1115 MORGAN ST, CARLINVILLE, IL 62626-1438
(217) 854-3692
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020012377
IL
Other
Enumeration date
12/05/2022
Last updated
12/21/2022
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