Individual
DR. KENNETH J MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8150 W 111TH ST, PALOS HILLS, IL 60465-2255
(708) 974-1909
(708) 974-1280
Mailing address
8150 W 111TH ST, PALOS HILLS, IL 60465-2255
(708) 974-1909
(708) 974-1280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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