Briceno, Juana Adilene

Briceno, Juana Adilene is an individual health care provider with primary practice located at 23 W Calendar Ave Fl 2 , La Grange IL 60525-2365. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Briceno, Juana Adilene can be contacted via phone (708) 579-2420.

Contact Information

Primary practice address
23 W Calendar Ave Fl 2 La Grange IL 60525-2365
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020016029 Illinois

Profile Details

NPI number 1639721483
LBN Legal business name Briceno, Juana Adilene
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 6 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.

Request for update

Popular Providers