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
(630) 860-9100
(630) 787-0662
Mailing address
333 N. WOOD DALE RD., WOOD DALE, IL 60191
(630) 860-9100
(630) 787-0662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017632
IL
1223P0300X
Periodontics
021001198
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021001200
IL
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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