| Kenwood Dental Group | |
|
1335 E 87th St Ste A Chicago IL 60619-7036 | |
| (773) 819-7105 | |
| Not Available |
| Full Name | Kenwood Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1335 E 87th St Ste A, Chicago, Illinois |
| Authorized Official Name and Position | Ashley Barnes (OWNER) |
| Authorized Official Contact | 7085395720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenwood Dental Group 1335 E 87th St Ste A Chicago IL 60619-7036 Ph: (773) 819-7105 | Kenwood Dental Group 1335 E 87th St Ste A Chicago IL 60619-7036 Ph: (773) 819-7105 |
| NPI Number | 1831749944 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831749944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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