KENNETH JOHN EGANHOUSE

OTTUMWA, IA
NPI1386772085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: IA  7194)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Dr. KENNETH JOHN EGANHOUSE D.D.S., M.S.
227 W 4TH ST SUITE 2C
OTTUMWA, IA 52501-2544
Phone number: 641-684-0215
Mailing Address
Dr. KENNETH JOHN EGANHOUSE D.D.S., M.S.
1636 PLUM THICKET LN
WEST DES MOINES, IA 50266-6603
Phone number: 515-222-2627