DR. Kehinde John Fasanya, DDS

NPI #1184939076 in Rockford, Illinois

Provider Information

NPI Number: 1184939076
Entity Type: Individual
Name: DR. Kehinde John Fasanya, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 16, 2010
Last Updated: Apr 23, 2021

Practice Location

Address: 6215 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2514
Phone: (920) 838-1649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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