Avalos, Susan P

Avalos, Susan P is an individual health care provider with primary practice located at 2 E 22Nd St , Lombard IL 60148. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Avalos, Susan P can be contacted via phone (630) 627-4680.

Contact Information

Primary practice address
2 E 22Nd St Lombard IL 60148
Phone: (630) 627-4680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X Illinois

Profile Details

NPI number 1790845246
LBN Legal business name Avalos, Susan P
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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