Individual
STEPHANIE PUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
11079 S BELL AVE, CHICAGO, IL 60643-3934
(773) 960-4493
Mailing address
11079 S BELL AVE, CHICAGO, IL 60643-3934
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.017328
IL
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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