Individual
SAMANTHA KUFTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4259 S BERKELEY AVE, CHICAGO, IL 60653-3030
(630) 965-7306
Mailing address
0N740 MORNINGSIDE AVE, WEST CHICAGO, IL 60185-2436
(630) 965-7306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030217
IL
1223D0001X
Public Health Dentistry
Primary
019.030217
IL
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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