Organization
DR. DONALD KELLNER & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CRAIG KELLNER DDS (OWNER)
(630) 860-9100
Entity
Organization
Contact information
Practice address
333 N WOOD DALE RD, WOOD DALE, IL 60191-1569
(630) 860-9100
(630) 787-0662
Mailing address
333 N WOOD DALE RD, WOOD DALE, IL 60191-1569
(630) 860-9100
(630) 787-0662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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