Individual
ERIN AMBROSE KNIERIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
3036 W SYLVANIA AVE, TOLEDO, OH 43613-4128
(419) 474-0733
Mailing address
3036 W SYLVANIA AVE, TOLEDO, OH 43613-4128
(419) 474-0733
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-022954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116372
—
OH
Enumeration date
07/02/2009
Last updated
10/28/2015
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