Individual
KEVIN VANKANEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 515-7474
(630) 515-7290
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 515-7474
(630) 515-7290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-023394
IL
Other
Enumeration date
05/01/2007
Last updated
08/29/2013
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