NPI 1003974155

Walter Knysz, DDS

Practitioner Dentist Dearborn, MI

Practice location

Address: 23401 Ford Road, Dearborn, MI 48128
Phone: (313) 561-3367
Mailing address: 300 East Long Lake Suite 311, Bloomfield Hills, MI 48304

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2901011077 (MI)

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Registry record

NPI: 1003974155
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.