Organization
KENNETH J. BARKER, D.D.S P.C.
Active
Other names
Clearly Cares Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JEREMY BARKER D.D.S. (PRESIDENT)
(773) 428-0157
Entity
Organization
Contact information
Practice address
3235 W ADDISON ST, SUITE B, CHICAGO, IL 60618-4328
(773) 451-9392
(773) 451-9398
Mailing address
836 W NEWPORT AVE, APT 2, CHICAGO, IL 60657-2569
(773) 428-0157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027297
IL
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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