Individual
DR. KENNETH O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
213 W MAIN ST, ROCKTON, IL 61072-2418
(815) 624-2626
(815) 624-7821
Mailing address
213 W MAIN ST, ROCKTON, IL 61072-2418
(815) 624-2626
(815) 624-7821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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