Individual
DR. KENNETH CORDELL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
227 N HAMMES AVE, JOLIET, IL 60435-8115
(815) 653-8050
Mailing address
2255 RIDGE RD, LANSING, IL 60438-2625
(773) 812-4421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034203
IL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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