Boller, Ketti R

Boller, Ketti R is an sole proprietor health care provider with primary practice located at 9535 W 144Th Pl , Orland Park IL 60462-2556. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Boller, Ketti R can be contacted via phone (708) 403-2288.

Contact Information

Primary practice address
9535 W 144Th Pl Orland Park IL 60462-2556
Phone: (708) 403-2288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 021.002483 Illinois

Profile Details

NPI number 1255682662
LBN Legal business name Boller, Ketti R
Credentials D.D.S, M.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2012
Last updated Sep 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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