Individual
DR. KENNETH DELAINE MEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
910 W GLEN AVE, PEORIA, IL 61614-4879
(309) 682-9802
(309) 682-9809
Mailing address
910 W GLEN AVE, PEORIA, IL 61614-4879
(309) 682-9802
(309) 682-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-024524
IL
Other
Enumeration date
01/25/2007
Last updated
02/20/2015
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