Individual
DR. MYRON KELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.A.
Contact information
Practice address
2324 W JOPPA RD, SUITE 110, LUTHERVILLE, MD 21093-4615
(410) 321-1100
(410) 321-8376
Mailing address
3301 BRIDLE RDG, STEVENSON, MD 21153-2032
(410) 484-1551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4892
MD
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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