Individual
DR. KEVIN CHRISTOPHER NIETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
198 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 760-1440
Mailing address
198 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 760-1440
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7003
SC
1223P0221X
Pediatric Dentistry
HI2422
HI
Other
Enumeration date
01/25/2012
Last updated
11/17/2016
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