KIIRI TAMM TIETJENS

BOURBONNAIS, IL
NPI1659435253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  021.002193)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- KIIRI TAMM TIETJENS DDS
750 ALMAR PKWY SUITE 102
BOURBONNAIS, IL 60914-2315
Phone number: 815-939-7136
Mailing Address
-- KIIRI TAMM TIETJENS DDS
750 ALMAR PKWY SUITE 102
BOURBONNAIS, IL 60914-2315
Phone number: 815-939-7136
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