Organization
KANE KANE KANE DDS ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RAYMOND KANE DDS (SECRETARY)
(815) 725-2254
Entity
Organization
Contact information
Practice address
1308 W JEFFERSON ST, JOLIET, IL 60435
(815) 725-2254
(815) 725-6267
Mailing address
1308 N JEFFERSON ST, JOLIET, IL 60435
(815) 725-2254
(815) 725-6267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019011896
IL
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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