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Timothy D Stirneman, DDS

Dentist in Lake In The Hills, IL. Individual provider (NPI-1).

NPI number1417153107
StatusActive
Last updated in NPPESApr 24, 2018

Details

NPI
1417153107
Entity type
Individual (NPI-1)
Name
Timothy D Stirneman
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 21, 2007
Last updated
Apr 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019022088ILYes

Practice location

261 N Randall Rd
Suite #102
Lake In The Hills, IL 60156-5999

Phone 847-915-3080

Mailing address

261 N Randall Rd
Suite #102
Lake In The Hills, IL 60156-5999

Phone 847-915-3080

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