Timothy John Kiczenski, D.D.S.

NPI #1720110570 in Wood Dale, Illinois

Provider Information

NPI Number
1720110570
Entity Type
Individual
Name
Timothy John Kiczenski, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
140 E COMMERCIAL ST
ZIP Code
60191-1582
Phone
(630) 766-2223

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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