Individual
DR. KENNETH M. PITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4801 W PETERSON AVE, SUITE 212, CHICAGO, IL 60646-5713
(773) 481-5906
(773) 481-5930
Mailing address
4801 W PETERSON AVE, SUITE 212, CHICAGO, IL 60646-5713
(773) 481-5906
(773) 481-5930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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