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Individual
DR. MARK P KIENLE
Active
Individual
DR. MARK P KIENLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.022637
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD449368
PA
Other
Enumeration date
02/18/2008
Last updated
10/02/2020
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