Individual
DR. KENNETH ROBERT ZALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
856 N STATE ST, LOCKPORT, IL 60441-2229
(815) 838-1998
(815) 838-4263
Mailing address
856 N STATE ST, LOCKPORT, IL 60441-2229
(815) 838-1998
(815) 838-4263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19015176
IL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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