Individual
DR. KENNETH V PINESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1506 N ROCKTON AVE, ROCKFORD, IL 61103-4388
(815) 968-6688
(815) 968-8989
Mailing address
1506 N ROCKTON AVE, ROCKFORD, IL 61103-4388
(815) 968-6688
(815) 968-8989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019016143
—
IL
Enumeration date
04/08/2008
Last updated
06/16/2008
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