Individual
DR. KENNETH JOHN KLIEWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
471 S MAIN ST, SUITE 110, CLEVELAND, GA 30528-1409
(706) 865-0382
(877) 811-4753
Mailing address
525 LEONA LANE, CLEVELAND, GA 30528-0353
(706) 865-0382
(877) 811-4753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009444
GA
Other
Enumeration date
10/25/2006
Last updated
01/19/2010
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