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Mary A. Southerlan, RDH, PHDH

Dental Hygienist · Lincoln, IL

UnclaimedRDH, PHDHNPI 1235732579
Primary taxonomy
124Q00000X
Enumerated
2020-11-19
Practice location
Lincoln, IL
Last NPPES update
2020-11-19

State licenses

  • IL · Dental hygienist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.