Gomolplitinant, Kenny Matee
Gomolplitinant, Kenny Matee is an sole proprietor health care provider with primary practice located at 413 W Saint Charles Rd , Villa Park IL 60181-2432. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gomolplitinant, Kenny Matee can be contacted via phone (630) 629-3120.Contact Information
Primary practice address
413 W Saint Charles Rd
Villa Park IL 60181-2432
Phone: (630) 629-3120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 319019495 | Illinois |
| Dental Providers / Dentist | 122300000X | 019030276 | Illinois |
Profile Details
| NPI number | 1184008799 |
|---|---|
| LBN Legal business name | Gomolplitinant, Kenny Matee |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2015 |
| Last updated | Jul 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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