Kelly L Oconnor DDS PC
NPI #1700981552 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1700981552
- Entity Type
- Organization
- Organization Name
- Kelly L Oconnor DDS PC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 801 MAIN ST NW
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914
- Phone
- (815) 932-3516
Authorized Official
- Name
- DR. KELLY L OCONNOR, DDS
- Title
- PRESIDENT
- Phone
- (815) 932-3516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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