Organization
KOSTEN DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JAMES KOSTEN (PRESIDENT)
(618) 345-6363
Entity
Organization
Contact information
Practice address
500 SAINT LOUIS RD, COLLINSVILLE, IL 62234-2437
(618) 345-6363
Mailing address
500 SAINT LOUIS RD, COLLINSVILLE, IL 62234-2437
(618) 345-6363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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