Organization
SPOT ON MYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY LANTZ (PRESIDENT/OWNER)
(708) 316-1610
Entity
Organization
Contact information
Practice address
11555 S HARLEM AVE, WORTH, IL 60482-2300
(708) 316-1610
Mailing address
6645 VICTORIA DR, OAK FOREST, IL 60452-2625
(708) 316-1610
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020009281
IL
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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