KENNETH R ANDERSON

LAKE FOREST, IL
NPI1992003370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019019692)
Enumeration Date2011-03-08
Last Update Date2011-03-08
Business Address
Dr. KENNETH R ANDERSON D.D.S
810 S WAUKEGAN RD
LAKE FOREST, IL 60045-2693
Phone number: 847-295-0515
Mailing Address
Dr. KENNETH R ANDERSON D.D.S
810 S WAUKEGAN RD
LAKE FOREST, IL 60045-2693
Phone number: 847-295-0515