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Individual

DR. KENNETH CHARLES HYTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2110 TROY RD, A, EDWARDSVILLE, IL 62025-2549
(618) 656-1914
Mailing address
12 GINGER CREEK DRIVE, GLEN CARBON, IL 62034
(618) 656-7131
(618) 656-7125

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A12931
IL

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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