Individual
MRS. KRISTIN IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
2424 N 8TH ST, PEKIN, IL 61554-1547
(309) 264-1355
Mailing address
2424 N 8TH ST, PEKIN, IL 61554-1547
(309) 264-1355
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.016254
IL
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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