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1356412829
KENNETH CLARK SENSENBRENNER
CHAMPAIGN, IL
NPI
1356412829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-016298)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. KENNETH CLARK SENSENBRENNER D.M.D.
3101 VILLAGE OFFICE PLACE
CHAMPAIGN, IL 61822-7673
Phone number: 217-352-4646
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Mailing Address
Dr. KENNETH CLARK SENSENBRENNER D.M.D.
3101 VILLAGE OFFICE PLACE
CHAMPAIGN, IL 61822-7673
Phone number: 217-352-4646
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