DR. Mark T Kienle, DDS
NPI #1710185707 in Rock Island, Illinois
Provider Information
- NPI Number
- 1710185707
- Entity Type
- Individual
- Name
- DR. Mark T Kienle, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 11, 2007
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 2501 24TH STREET
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5300
- Phone
- (309) 786-1226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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|---|---|
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