Mack, Kelly Anne

Mack, Kelly Anne is an individual health care provider with primary practice located at 55 E Loop Rd Grove Dental Assoc Suite 201, Wheaton IL 60187. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mack, Kelly Anne can be contacted via phone (630) 653-8899.

Contact Information

Primary practice address
55 E Loop Rd Grove Dental Assoc Suite 201 Wheaton IL 60187
Phone: (630) 653-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X Illinois

Profile Details

NPI number 1245308899
LBN Legal business name Mack, Kelly Anne
Credentials RD4
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 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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