Provider Demographics
NPI:1780896118
Name:WOLNIK, KENNETH JOHN II (DDS)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:JOHN
Last Name:WOLNIK
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6363 YORK RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3031
Mailing Address - Country:US
Mailing Address - Phone:440-888-5055
Mailing Address - Fax:440-888-0249
Practice Address - Street 1:6363 YORK RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3031
Practice Address - Country:US
Practice Address - Phone:440-888-5055
Practice Address - Fax:440-888-0249
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2014-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH216921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice