Individual
DR. KEVIN AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1485 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-6684
Mailing address
1485 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-6684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025478
IL
Other
Enumeration date
07/21/2008
Last updated
11/08/2016
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