Individual
DR. MICHAEL R KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2242 SANTA CLARA AVE, ALAMEDA, CA 94501-4417
(510) 523-1862
(510) 521-1595
Mailing address
2242 SANTA CLARA AVE, ALAMEDA, CA 94501-4417
(510) 523-1862
(510) 521-1595
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
48487
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5224
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN17902
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
30138
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A128233
CA
Other
Enumeration date
04/24/2007
Last updated
02/11/2015
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