Individual
DR. KRISTIN LAURA TUSSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6058 GARRETT LN, ROCKFORD, IL 61107-5228
(815) 398-5610
Mailing address
6058 GARRETT LN, ROCKFORD, IL 61107-5228
(815) 398-5610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029017
IL
Other
Enumeration date
06/03/2012
Last updated
06/24/2012
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