Individual
KENG LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5475 BECKLEY RD # 100, BATTLE CREEK, MI 49015-4122
(269) 979-7710
Mailing address
350 N CLARK ST, 6TH FLOOR, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022060
MI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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