Individual
KENDYLL KEENAN STAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3250 W 111TH ST, CHICAGO, IL 60655-2729
(773) 232-5383
Mailing address
180 N ADA ST APT 514, CHICAGO, IL 60607-1542
(732) 684-4937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034223
IL
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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