Individual
MISS JILL MARIE KUENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(844) 853-8937
Mailing address
5331 HIGHWAY V, WASHINGTON, MO 63090-5630
(636) 346-3758
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2006014788
MO
Other
Enumeration date
03/26/2019
Last updated
03/27/2019
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