# DR. MARK P KIENLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740458389
- **Gender:** Man
- **Credential:** MD, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30.022637 | OH | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD449368 | PA | Yes |

## Other

- **Enumeration date:** 02/18/2008
- **Last updated:** 10/02/2020