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1710997002
KIRK H CHRISTENSEN
WOODSTOCK, IL
NPI
1710997002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 021001453)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- KIRK H CHRISTENSEN DDS
226 W JUDD ST
WOODSTOCK, IL 60098-3158
Phone number: 815-337-5522
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Mailing Address
-- KIRK H CHRISTENSEN DDS
388 HILLCREST DR
FONTANA, WI 53125-1248
Phone number: 815-621-6027
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