Individual
DR. KEVIN RAY HADDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
426 S 3RD ST, GENEVA, IL 60134-2708
(630) 232-9090
(630) 232-9094
Mailing address
426 S 3RD ST, GENEVA, IL 60134-2708
(630) 232-9090
(630) 232-9094
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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