Organization
KELLY L OCONNOR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY L OCONNOR DDS (PRESIDENT)
(815) 932-3516
Entity
Organization
Contact information
Practice address
801 MAIN ST NW, BOURBONNAIS, IL 60914
(815) 932-3516
(815) 932-3516
Mailing address
801 MAIN ST NW, BOURBONNAIS, IL 60914
(815) 932-3516
(815) 932-2992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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