Individual
DR. GENE ALLEN KEESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3642 LAKE ST, LANSING, IL 60438-2471
(708) 474-7717
Mailing address
3642 LAKE ST, LANSING, IL 60438-2471
(708) 474-7717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019013148
IL
Other
Enumeration date
01/03/2012
Last updated
01/10/2012
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