Individual
MRS. LORI JOANN JEPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6800 S MAIN ST, GROVE DENTAL ASSOC 3RD FLOOR, DOWNERS GROVE, IL 60516
(630) 969-5350
Mailing address
2913 VIMY RIDGE, JOLIET, IL 60435
(815) 436-1165
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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