Individual
DR. KENNETH JAY COLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1250 N MILL ST, NAPERVILLE, IL 60563-6304
(630) 355-7400
(630) 355-7428
Mailing address
1250 N MILL ST, NAPERVILLE, IL 60563-6304
(630) 355-7400
(630) 355-7428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-016746
IL
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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