Organization
SCOTT KALNIZ DENTAL PARTNERS II PROFESSIONAL CORPORATION
Active
Other names
EDP of Ohio II PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANNE BRUNENKANT (DIRECTOR OF INTEGRATIONS)
(312) 937-3619
Entity
Organization
Contact information
Practice address
2962 STATE ROUTE 39, MILLERSBURG, OH 44654-8852
(330) 893-3363
Mailing address
141 W JACKSON BLVD STE 210, CHICAGO, IL 60604-3048
(312) 993-7136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
09/16/2019
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