Organization
RICHARD G KINKELAAR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GLENN KINKELAAR DDS (PRESIDENT OWNER)
(216) 671-0474
Entity
Organization
Contact information
Practice address
3865 ROCKY RIVER DR, CLEVELAND, OH 44111-4114
(216) 671-0474
Mailing address
3865 ROCKY RIVER DR, CLEVELAND, OH 44111-4114
(216) 671-0474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30011416
OH
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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