Dr. Kmieck's Dental Health Service Inc | |
7057 W 130th St Parma Heights OH 44130-7841 | |
(440) 888-9755 | |
(440) 888-8763 |
Full Name | Dr. Kmieck's Dental Health Service Inc |
---|---|
Speciality | Dentist |
Location | 7057 W 130th St, Parma Heights, Ohio |
Authorized Official Name and Position | Kenneth Thomas Kmieck (PRESIDENT) |
Authorized Official Contact | 4408889755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Kmieck's Dental Health Service Inc 7057 W 130th St Parma Heights OH 44130-7841 Ph: (440) 888-9755 | Dr. Kmieck's Dental Health Service Inc 7057 W 130th St Parma Heights OH 44130-7841 Ph: (440) 888-9755 |
NPI Number | 1649583857 |
---|---|
Provider Enumeration Date | 07/16/2010 |
Last Update Date | 07/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649583857 | NPI | - | NPPES |
0467990 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS030029L (Pennsylvania) | Primary |
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