Individual
KRISTINA STUEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17519 80TH AVE, TINLEY PARK, IL 60477-4300
(708) 429-2111
Mailing address
17519 80TH AVE, TINLEY PARK, IL 60477-4300
(708) 429-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9621
TN
Other
Enumeration date
04/22/2011
Last updated
02/01/2016
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