Individual
MARY CLAIRE KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8920 W CONNELL CT SUITE 310, MILWAUKEE, WI 53226
(414) 266-2040
Mailing address
5724 GIDDINGS AVE, HINSDALE, IL 60521-5000
(630) 956-2064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033087
IL
122300000X
Dentist
Primary
6001312-15
WI
Other
Enumeration date
06/15/2023
Last updated
01/09/2025
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