KENNETH GERSTEIN

BLOOMINGTON, IL
NPI1730243056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: IL  021001002)
Additional Taxonomies1223P0300X Dentist, Periodontics
(Licence: IL  019014048)
Enumeration Date2006-12-21
Last Update Date2009-09-23
Business Address
-- KENNETH GERSTEIN DDS
1404 EASTLAND DR
BLOOMINGTON, IL 61701-3532
Phone number: 309-663-4711
Mailing Address
-- KENNETH GERSTEIN DDS
1404 EASTLAND DR
BLOOMINGTON, IL 61701-3532
Phone number: 309-663-4711