Alexis Grace Page Valid NPI
Individual provider · Dental Hygienist · Gillespie, IL
- NPI
- 1558187724
- Type
- Individual (Type 1)
- Primary specialty
- Dental Hygienist
- Specialty group
- Dental Providers
- Taxonomy code
- 124Q00000X
- License number
- 020016222 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
Practice location
109 E Maple St
Gillespie, IL 62033-1473
(217) 839-4110