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Lydia Dejonge, DDS
NPI 1164042198 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6305 W 95th St Ste 200
Oak Lawn, IL 60453 - Phone
- (708) 424-1300
- Organisation at this address
- Tom Trikolas Dds Pc
Southwest Oral Surgeons,P.C.
Pediatric Dental SpecialistsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Also registered as
- Student in an Organized Health Care Education/Training Program
Pediatric Dentistry - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois