Individual
MR. KEVIN JAMES THORNSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1767 W. OGDEN AVE, SUITE 151, NAPERVILLE, IL 60540
(773) 437-3667
Mailing address
1767 W. OGDEN AVE, SUITE 151, NAPERVILLE, IL 60540
(773) 437-3667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016450
IL
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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