Individual
SILSAN KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
430 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1799
(708) 808-4950
Mailing address
2707 WESTWIND DR, VALPARAISO, IN 46385-7215
(219) 801-5826
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.013888
IL
124Q00000X
Dental Hygienist
13007000A
IN
Other
Enumeration date
04/26/2020
Last updated
05/24/2020
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