Individual
AMBER DANIAL KIZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
350 N. CLARK STREET 6TH FLOOR, DENTAL DREAMS C/O DANIELLE, CHIGAGO, IL 60654
(248) 506-4886
Mailing address
350 NORTH CLARK ST 6TH FLOOR, DENTAL DREAMS LLC, CHICAGO, IL 60654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021016
MI
Other
Enumeration date
06/25/2013
Last updated
04/05/2017
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