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Individual

DR. KRISTOFFER JAN TUMILOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1619 NORTH ALPINE ROAD, EDGEBROOK CENTER, ROCKFORD, IL 61107-1414
(815) 229-3520
(815) 229-1456
Mailing address
1619 NORTH ALPINE ROAD, EDGEBROOK CENTER, ROCKFORD, IL 61107-1414
(815) 229-3520
(815) 229-1456

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A16048
IL

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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