Antioch Dental Centre PC

NPI #1972368116 in Antioch, Illinois

Provider Information

NPI Number
1972368116
Entity Type
Organization
Organization Name
Antioch Dental Centre PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 16, 2024
Last Updated
Mar 7, 2024

Practice Location

Address
439 LAKE ST
ZIP Code
60002-1405
Phone
(847) 395-3250

Authorized Official

Name
DR. KENNETH ARTHUR JOHNSON, DDS
Title
PRESIDENT
Phone
(847) 395-3250

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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