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Individual

KYMBERLEY BETH DALLSTREAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, BSDH

Contact information

Practice address
270 CENTER DR, VERNON HILLS, IL 60061-1564
(847) 996-0575
Mailing address
4933 DARLENE DR, GURNEE, IL 60031-1823
(847) 204-5670

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020010027
IL

Other

Enumeration date
12/05/2023
Last updated
12/05/2023
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