Sage Jacklyn Vanantwerp, DMD is a student in an organized health care education training program in Maywood, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sage Jacklyn Vanantwerp, DMD NPI is 1265963359. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 327-3041
The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.