Individual
KIMBERLY WEYNETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
152 N ADDISON AVE, SUITE 201, ELMHURST, IL 60126-2810
(630) 530-8852
(630) 530-8861
Mailing address
11115 GLENBROOK LN, INDIANHEAD PARK, IL 60525-6984
(708) 246-2889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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