Individual
KEN ARRIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2241 THEODORE, CREST HILL, IL 60403
(815) 741-1700
(815) 741-8511
Mailing address
2241 THEODORE, CREST HILL, IL 60403
(815) 741-1700
(815) 741-8511
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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