Organization
KENNETH D. MEISS D.M.D. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DELAINE MEISS D.M.D. (PRESIDENT)
(309) 682-9802
Entity
Organization
Contact information
Practice address
910 W GLEN AVE, PEORIA, IL 61614-4879
(309) 682-9802
(309) 682-9809
Mailing address
910 W GLEN AVE, PEORIA, IL 61614-4879
(309) 682-9802
(309) 682-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-024524
IL
Other
Enumeration date
05/02/2007
Last updated
02/20/2015
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