| NPI | 1578021556 |
|---|---|
| Doing Business As | KIESEL AND MAYE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ANTHONY MAYE Owner 267-258-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-08 |