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Individual

DR. KRISTINE VASQUEZ STREITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
13621 S ROUTE 59 UNIT 103, PLAINFIELD, IL 60544-9701
(815) 673-7842
Mailing address
16361 S PEERLESS CT, PLAINFIELD, IL 60586-9050
(407) 760-1124

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019031034
IL
1223G0001X
General Practice Dentistry
DN 21118
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/19/2014
Last updated
04/18/2023
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