| NPI | 1902971062 |
|---|---|
| Former Legal Business Name | KIESEL & GOWDA DENTAL ASSOCIATES, P.C. |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A KIESEL Owner 215-536-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS021954L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 122300000X Dentist (Licence: PA DS039978) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2016-11-10 |