Individual
DR. KENT M SHINOZAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
304 EAST RAND ROAD, SUITE 200, ARLINGTON HEIGHTS, IL 60004
(224) 770-3001
Mailing address
304 EAST RAND ROAD, SUITE 200, ARLINGTON HEIGHTS, IL 60004
(224) 770-3001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019029262
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2223
HI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
52931
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6965-15
WI
Other
Enumeration date
10/10/2006
Last updated
09/12/2013
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