Individual
DR. MARK T KIENLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 24TH STREET, ROCK ISLAND, IL 61201-5300
(309) 786-1226
(309) 786-0700
Mailing address
2501 24TH STREET, ROCK ISLAND, IL 61201-5300
(309) 786-1226
(309) 786-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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