Individual
MR. GLENN JOSEPH KUEMERLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33398 WALKER RD, SUITE A, AVON LAKE, OH 44012-1496
(440) 933-4486
(440) 930-4681
Mailing address
33398 WALKER RD, SUITE A, AVON LAKE, OH 44012-1496
(440) 933-4486
(440) 930-4681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442566
—
OH
Enumeration date
11/10/2005
Last updated
07/08/2007
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