DR. Kevin Mark Anderson, DDS

NPI #1255407144 in Huntley, Illinois

Provider Information

NPI Number
1255407144
Entity Type
Individual
Name
DR. Kevin Mark Anderson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
10428 RT 47
ZIP Code
60142-0156
Phone
(847) 669-5421

Specialties & Taxonomy Codes

Specialty
Dentist

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