ANTHONY D KIESEL

INDIANAPOLIS, IN
NPI1275920696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12012307A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-23
Last Update Date2015-09-25
Business Address
-- ANTHONY D KIESEL D.D.S
6150 E 82ND ST
INDIANAPOLIS, IN 46250-1500
Phone number: 317-207-6480
Mailing Address
-- ANTHONY D KIESEL D.D.S
621 DANVER LN
BEECH GROVE, IN 46107-3328
Phone number: