Kufta, Samantha
Kufta, Samantha is an individual health care provider with primary practice located at 4259 S Berkeley Ave , Chicago IL 60653-3030. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is her primary health care specialty. Kufta, Samantha can be contacted via phone (630) 965-7306.Contact Information
Primary practice address
4259 S Berkeley Ave
Chicago IL 60653-3030
Phone: (630) 965-7306
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019.030217 | Illinois |
Dental Providers / Dental Public Health | 1223D0001X | 019.030217 | Illinois |
Profile Details
NPI number | 1417330556 |
---|---|
LBN Legal business name | Kufta, Samantha |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2015 |
Last updated | Jul 7th, 2015 - about 10 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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