Individual
DR. KENNETH ARTHUR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1531 W CAMPBELL ST, ARLINGTON HEIGHTS, IL 60005-1513
(847) 373-3936
Mailing address
2909 SCOTTLYNNE DR, PARK RIDGE, IL 60068-2854
(773) 719-9559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019823
IL
Other
Enumeration date
12/11/2006
Last updated
01/23/2025
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