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Individual

GERALD KNIERIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
635 N ERIE ST, ATTN BILLING, KATHY, TOLEDO, OH 43604
(419) 213-4049
(419) 213-4017
Mailing address
4544 COUNTRY WALK LN, SYLVANIA, OH 43560-2955
(419) 843-4410
(419) 213-4017

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0338521
OH
Enumeration date
01/09/2006
Last updated
07/09/2007
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