KEHINDE JOHN FASANYA

ROCKFORD, IL
NPI1184939076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.028443)
Enumeration Date2010-08-16
Last Update Date2021-04-23
Business Address
Dr. KEHINDE JOHN FASANYA DDS
6215 E STATE ST
ROCKFORD, IL 61108-2514
Phone number: 920-838-1649
Mailing Address
Dr. KEHINDE JOHN FASANYA DDS
430 W ERIE ST STE 200
CHICAGO, IL 60654-6920
Phone number: 920-838-1649
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