Individual
DR. KENNETH JOHN EGANHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
227 W 4TH ST, SUITE 2C, OTTUMWA, IA 52501-2544
(641) 684-0215
Mailing address
1636 PLUM THICKET LN, WEST DES MOINES, IA 50266-6603
(515) 222-2627
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7194
IA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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