Individual
DR. KENNETH JUDE BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21851 CENTER RIDGE RD, ROCKY RIVER, OH 44116-3976
(440) 331-3044
(440) 356-7033
Mailing address
1362 RIVER RIDGE OVAL, HINCKLEY, OH 44233-9752
(440) 331-3044
(440) 356-7033
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30017249
OH
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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