Individual
DR. KEVIN THOMAS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6217 N MILWAUKEE AVE, CHICAGO, IL 60646-3730
(773) 775-3663
(773) 775-8815
Mailing address
6217 N MILWAUKEE AVE, CHICAGO, IL 60646-3730
(773) 775-3663
(773) 775-8815
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19A16281
IL
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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