Walter Knysz JR. DDS

NPI 1003974155 - Dentist - 122300000X

NPI Details
NPI 1003974155
Gender Male
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
23401 FORD ROAD
DEARBORN MI, 48128, US
Phone (313) 561-3367
Fax
Business Location
300 EAST LONG LAKE
SUITE 311
BLOOMFIELD HILLS MI, 48304, US
Phone (248) 203-1111
Fax (248) 594-5971
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2901011077
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According to our database, Dr. Walter Knysz JR. DDS NPI is 1003974155, taxonomy code is 122300000X and license number is 2901011077, license state is located at Michigan. Walter Knysz JR. DDS physically located at 23401 Ford Road, Dearborn MI, 48128. NPI Number Walter Knysz JR. DDS has the Individual type.

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1003974155 NPI number is provided on an as is basis without warranty of any kind. 1003974155 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Knysz JR. DDS are for informational purposes only.