KEN KLOESS

DUPO, IL
NPI1700893989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-019724)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
Dr. KEN KLOESS D.M.D.
240 S MAIN ST
DUPO, IL 62239-1357
Phone number: 618-286-4855
Mailing Address
Dr. KEN KLOESS D.M.D.
240 S MAIN ST
DUPO, IL 62239-1357
Phone number: 618-286-4855
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