Roberta Jeter

NPI #1235594623 in Beach Park, Illinois

Provider Information

NPI Number: 1235594623
Entity Type: Individual
Name: Roberta Jeter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Dec 29, 2015
Last Updated: Dec 29, 2015

Practice Location

Address: 13146 W NEWCASTLE LN
City: Beach Park
State: Illinois
ZIP Code: 60083-3001
Phone: (847) 977-3044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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