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Organization

JOSEPH KERWIN DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH JOHN KERWIN D.D.S. (PRESIDENT)
(815) 732-6911
Entity
Organization

Contact information

Practice address
1307 WASHINGTON ST, SUITE 130, OREGON, IL 61061-1001
(815) 732-6911
(815) 732-7852
Mailing address
1307 WASHINGTON ST, SUITE 130, OREGON, IL 61061-1001
(815) 732-6911
(815) 732-7852

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016964
IL

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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