Organization
KENWOOD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY BARNES DDS (OWNER)
(708) 539-5720
Entity
Organization
Contact information
Practice address
1335 E 87TH ST STE A, CHICAGO, IL 60619-7036
(773) 819-7105
Mailing address
1335 E 87TH ST STE A, CHICAGO, IL 60619-7036
(773) 819-7105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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