Individual
KEVIN R BEHN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.C.
Contact information
Practice address
115 N MAIN ST, MARISSA, IL 62257-1341
(618) 295-3703
(619) 285-2636
Mailing address
115 N MAIN ST, MARISSA, IL 62257-1341
(618) 295-3703
(619) 285-2636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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