DR. Kenneth R Anderson JR., D.D.S
NPI #1992003370 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1992003370
- Entity Type
- Individual
- Name
- DR. Kenneth R Anderson JR., D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Mar 8, 2011
- Last Updated
- Mar 8, 2011
Practice Location
- Address
- 810 S WAUKEGAN RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-2693
- Phone
- (847) 295-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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