Individual
DR. KURT MICHAEL HOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
365 SURRYSE RD, SUITE 170, LAKE ZURICH, IL 60047-2679
(847) 438-6485
Mailing address
365 SURRYSE RD, SUITE 170, LAKE ZURICH, IL 60047-2679
(847) 438-6485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027634
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2008
Last updated
06/20/2009
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