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Individual

MRS. KARIN EMILIE STOCKMANN MORTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1425 N MCLEAN BLVD, STE 300, ELGIN, IL 60123
(847) 695-4188
(847) 695-0650
Mailing address
1425 N MCLEAN BLVD, STE 300, ELGIN, IL 60123
(847) 695-4188
(847) 695-0650

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
IL

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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