DR. Kenneth L Eichholz JR., D.D.S.

NPI #1962621763 in Freeport, Illinois

Provider Information

NPI Number: 1962621763
Entity Type: Individual
Name: DR. Kenneth L Eichholz JR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 24, 2007
Last Updated: Jan 30, 2017

Practice Location

Address: 624 TERRA WEST DR
Address 2: SUITE #1
City: Freeport
State: Illinois
ZIP Code: 61032-4595
Phone: (815) 235-7165

Specialties & Taxonomy Codes

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

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