Organization
KENNETH A JOHNSON DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A JOHNSON DDS (OWNER)
(773) 719-9559
Entity
Organization
Contact information
Practice address
1531 W CAMPBELL ST, ARLINGTON HEIGHTS, IL 60005-1513
(847) 373-3936
Mailing address
2909 SCOTTLYNNE DR, PARK RIDGE, IL 60068-2854
(773) 719-9559
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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