Terri Lynn Harbin Ilg, RDH
Dental Hygienist in Bangor, MI. Individual provider (NPI-1).
NPI number1417319476
StatusActive
Last updated in NPPESMar 28, 2016
Details
- NPI
- 1417319476
- Entity type
- Individual (NPI-1)
- Name
- Terri Lynn Harbin Ilg
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2016
- Last updated
- Mar 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 2902005054 | MI | Yes |
Practice location
308 Charles StreetIntercare Community Health Network
Bangor, MI 49013
Phone 269-427-7967 · Fax 269-427-9539
Mailing address
50 Industrial Park RoadBangor, MI 49013
Phone 269-427-7937 · Fax 269-427-5180
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All 9 Dental Hygienist providers in Bangor · All 83 providers in Bangor
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