Individual
SAMANTHA KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
444 W ARMY TRAIL RD, BLOOMINGDALE, IL 60108-1379
(630) 387-9764
Mailing address
28294 FERRY RD APT 269, WARRENVILLE, IL 60555-4065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036156
IL
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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