Individual
DR. WILLIAM R KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 MENTOR AVE STE 12, PAINESVILLE, OH 44077-1459
(440) 352-3223
Mailing address
7921 AUGUSTA LN, CONCORD TWP, OH 44077-9193
(440) 352-7425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30013907
OH
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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