Organization
KUNNEL DENTAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSIE KUNNEL DDS (PRESIDENT)
(847) 675-5590
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE, #401, SKOKIE, IL 60077-3703
(847) 675-7090
Mailing address
9933 LAWLER AVE, #401, SKOKIE, IL 60077-3703
(847) 675-7090
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019024836
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019024293
IL
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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