Individual
STEVEN SCOTT KANETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 W VIRGINIA AVE, VINTON, VA 24179-3318
(540) 342-8756
Mailing address
1015 HIGHLAND DR, ROANOKE, VA 24019-7232
(540) 309-5078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005770
VA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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