Kenneth T Kmieck

NPI #1235385584 in Parma, Ohio

Provider Information

NPI Number: 1235385584
Entity Type: Organization
Organization Name: Kenneth T Kmieck
Primary Specialty: Dentist
Enumeration Date: Aug 18, 2008
Last Updated: Aug 18, 2008

Practice Location

Address: 5615 OVERLOOK RD
City: Parma
State: Ohio
ZIP Code: 44129-2453
Phone: (440) 343-4172

Authorized Official

Name: KENNETH THOMAS KMIECK, DDS
Title: OWNER
Phone: (440) 343-4172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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