Organization
KUENNEMEIER AND KELLEY DENTAL PRACTICE LLC
Active
Other names
Eastgate Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PAUL KUENNEMEIER DDS (DENTIST/OWNER)
(513) 753-0044
Entity
Organization
Contact information
Practice address
3241 MOUNT CARMEL RD, CINCINNATI, OH 45244-4315
(513) 753-0044
(513) 753-0093
Mailing address
3241 MOUNT CARMEL RD, CINCINNATI, OH 45244-4315
(513) 753-0044
(513) 753-0093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16903
OH
1223G0001X
General Practice Dentistry
23243
OH
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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