Dinneshia Annetta Moten, DENTAL HYGIENIST

NPI #1023825114 in Great Lakes, Illinois

Provider Information

NPI Number: 1023825114
Entity Type: Individual
Name: Dinneshia Annetta Moten, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Dec 12, 2024
Last Updated: Dec 12, 2024

Practice Location

Address: USS OSBORNE DENTAL CLINIC
Address 2: 3440 OHIO ST
City: Great Lakes
State: Illinois
ZIP Code: 60088
Phone: (847) 688-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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