John Ewing Kiesselbach, DDS

NPI #1093903312 in Rocklin, California

Provider Information

NPI Number
1093903312
Entity Type
Individual
Name
John Ewing Kiesselbach, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Oct 11, 2007
Last Updated
Oct 11, 2007

Practice Location

Address
6000 FAIRWAY DRIVE
Address 2
SUITE 10
ZIP Code
95677
Phone
(916) 632-5809

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist

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