Individual
SCOTT B KALNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1642 RALSTON CIR, TOLEDO, OH 43615-3801
(419) 536-7265
Mailing address
1642 RALSTON CIR, TOLEDO, OH 43615-3801
(419) 536-7265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20857
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04359
—
OH
Enumeration date
08/08/2006
Last updated
07/08/2007
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