Organization
KALNIZ DENTAL ELMHURST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT B KALNIZ DDS (PRESIDENT)
(419) 536-7265
Entity
Organization
Contact information
Practice address
4321 TALMADGE ROAD, SUITES B, C, D, TOLEDO, OH 43623
(419) 536-7265
Mailing address
1642 RALSTON CIR, TOLEDO, OH 43615-3801
(419) 536-7265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4321 TALMADGE
ADDRESS
OH
Enumeration date
11/06/2008
Last updated
11/06/2008
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