Individual
DONALD J KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1110 S MULFORD RD, ROCKFORD, IL 61108-4213
(815) 398-3879
(815) 398-1085
Mailing address
1110 S MULFORD RD, ROCKFORD, IL 61108-4213
(815) 398-3879
(815) 398-1085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.012138
IL
1223G0001X
General Practice Dentistry
Primary
019.024307
IL
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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