Individual
DR. KENNETH L EICHHOLZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
624 TERRA WEST DR, SUITE #1, FREEPORT, IL 61032-4595
(815) 235-7165
(815) 235-4870
Mailing address
624 TERRA WEST DR, SUITE #1, FREEPORT, IL 61032-4595
(815) 235-7165
(815) 235-4870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026983
IL
Other
Enumeration date
04/24/2007
Last updated
01/30/2017
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