Individual
JACLYN KILBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5640 CLAYTON CIR, ROSCOE, IL 61073-9503
(815) 623-7366
(815) 623-7331
Mailing address
PO BOX 967, ROSCOE, IL 61073-0967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032356
IL
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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