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Individual

DR. KENNETH GLENN RAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7291
(618) 474-7089
Mailing address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7120
(618) 474-7089

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019026796
IL

Other

Enumeration date
12/27/2006
Last updated
01/11/2024
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