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Dr. Walter Knysz Jr., DDS

Dentist in Dearborn, MI. Individual provider (NPI-1).

NPI number1003974155
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003974155
Entity type
Individual (NPI-1)
Name
Dr. Walter Knysz Jr.
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 4, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2901011077MIYes

Practice location

23401 Ford Road
Dearborn, MI 48128

Phone 313-561-3367

Mailing address

300 East Long Lake
Suite 311
Bloomfield Hills, MI 48304

Phone 248-203-1111 · Fax 248-594-5971

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