Individual
STEFANI DJORDJEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
14785 W 101ST AVE, DYER, IN 46311-3371
(219) 365-3600
Mailing address
2616 E CREEKWOOD CT, CRETE, IL 60417-2604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012369A
IN
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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