| Joseph Kunnel Dds, Phd, Pc | |
|
4105 Frontage Rd Suite 100a Peru IL 61354-1115 | |
| (815) 223-0204 | |
| (815) 223-0957 |
| Full Name | Joseph Kunnel Dds, Phd, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4105 Frontage Rd, Peru, Illinois |
| Authorized Official Name and Position | Joseph G. Kunnel (PRESIDENT OWNER) |
| Authorized Official Contact | 8152230204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Kunnel Dds, Phd, Pc 4105 Frontage Rd Suite 100a Peru IL 61354-1115 Ph: (815) 223-0204 | Joseph Kunnel Dds, Phd, Pc 4105 Frontage Rd Suite 100a Peru IL 61354-1115 Ph: (815) 223-0204 |
| NPI Number | 1356356125 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356356125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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