KENNETH O JOHNSON

SOUTH HOLLAND, IL
NPI1912058280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019018099)
Enumeration Date2007-01-15
Last Update Date2007-07-08
Business Address
-- KENNETH O JOHNSON DDS
438 E 162ND ST
SOUTH HOLLAND, IL 60473-2258
Phone number: 708-333-0699
Mailing Address
-- KENNETH O JOHNSON DDS
438 E 162ND ST
SOUTH HOLLAND, IL 60473-2258
Phone number: 708-333-0699
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