Individual
DR. COLE ANTHONY KALLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 E DEAN ST, VIRDEN, IL 62690-1446
(217) 965-3032
Mailing address
730 W DEAN ST, VIRDEN, IL 62690-1357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.037203
IL
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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