DR. Kenneth Delaine Meiss, D.M.D.

NPI #1336294537 in Peoria, Illinois

Provider Information

NPI Number: 1336294537
Entity Type: Individual
Name: DR. Kenneth Delaine Meiss, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jan 25, 2007
Last Updated: Feb 20, 2015

Practice Location

Address: 910 W GLEN AVE
City: Peoria
State: Illinois
ZIP Code: 61614-4879
Phone: (309) 682-9802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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