Most Relevant Information
Provider Data
| NPI Number: | 1003366253 |
| Provider Name: | KENG LOR D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901022060 |
Most Important Dates
| Enumeration Date: | 10/12/2016 |
| Last Updated: | 10/12/2016 |
Provider Practice Location
5475 BECKLEY RD # 100
BATTLE CREEK
MI
490154122
Practice Location Phone/Fax
| Phone: | 2699797710 |
| Fax: |
Provider Mailing Location
350 N CLARK ST
6TH FLOOR
CHICAGO
IL
606544782
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |