DR. Kenny Matee Gomolplitinant, D.M.D.

NPI #1184008799 in Villa Park, Illinois

Provider Information

NPI Number: 1184008799
Entity Type: Individual
Name: DR. Kenny Matee Gomolplitinant, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 13, 2015
Last Updated: Jul 7, 2021

Practice Location

Address: 413 W SAINT CHARLES RD
City: Villa Park
State: Illinois
ZIP Code: 60181-2432
Phone: (630) 629-3120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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