Individual
BRIAN THOMAS KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9995 DAYTON LEBANON PIKE, CENTERVILLE FINANCE, OH 45458-4231
(937) 885-7204
(937) 885-7206
Mailing address
9995 DAYTON LEBANON PIKE, CENTERVILLE FINANCE, OH 45458-4231
(937) 885-7204
(937) 885-7206
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0666060
—
OH
Enumeration date
10/02/2006
Last updated
07/08/2007
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