DR. Kevin B Delatour, DMD

NPI #1508070764 in Benton, Illinois

Provider Information

NPI Number: 1508070764
Entity Type: Individual
Name: DR. Kevin B Delatour, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 808 NORTH MAIN
City: Benton
State: Illinois
ZIP Code: 62812
Phone: (618) 435-6772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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