Individual
DR. KEN KLOESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
240 S MAIN ST, DUPO, IL 62239-1357
(618) 286-4855
(618) 286-5945
Mailing address
240 S MAIN ST, DUPO, IL 62239-1357
(618) 286-4855
(618) 286-5945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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