Individual
CANDACE DEMAIA KOUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
647 N 1ST BANK DR, PALATINE, IL 60067-8111
(206) 714-1318
Mailing address
647 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 358-2477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032617
IL
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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