Individual
KERSDEN LORETONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S DIVISION ST, STRONGHURST, IL 61480-5033
(309) 924-1381
Mailing address
1394 AMHERST ST, APT 19, BUFFALO, NY 14216-3411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028234
IL
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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