JACK R KNEISLEY

SPRINGFIELD, OH
NPI1295749711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OH  14578)
Additional Taxonomies1223G0001X Dentist General Practice
(Licence: NH  1282)
1223G0001X Dentist General Practice
(Licence: MA  12426)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
MR. JACK R KNEISLEY DDS
221 E HOME RD
SPRINGFIELD, OH 45503
Phone number: 937-399-4470
Mailing Address
MR. JACK R KNEISLEY DDS
221 E HOME RD
SPRINGFIELD, OH 45503
Phone number: 937-399-4470