Organization
KENNETH J MOLNAR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J MOLNAR DDS (OWNER)
(419) 529-9494
Entity
Organization
Contact information
Practice address
2191 PARK AVE W, MANSFIELD, OH 44906-1226
(419) 529-9494
(419) 529-9391
Mailing address
2191 PARK AVE W, MANSFIELD, OH 44906-1226
(419) 529-9494
(419) 529-9391
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138778
ANTHEM BC/BS
OH
05
—
0701486
—
OH
01
—
271547277005
MEDICAL MUTUAL OF OHIO
OH
01
—
744917
UNITED CONCORDIA
OH
Enumeration date
03/17/2009
Last updated
03/19/2012
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