Individual
KEVIN KNIERIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 REGENCY CT, 101, TOLEDO, OH 43623-3091
(419) 473-2728
Mailing address
1000 REGENCY CT, 101, TOLEDO, OH 43623-3091
(419) 473-2728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023015
OH
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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