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Organization
WAUSEON DENTAL GROUP L.L.C.
Active
Organization
WAUSEON DENTAL GROUP L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSI L PELOK (OFFICE MGR.)
(419) 337-2391
Entity
Organization
Contact information
Practice address
229 N FRANKLIN ST, WAUSEON, OH 43567-1265
(419) 337-2391
(419) 335-0700
Mailing address
229 N FRANKLIN ST, WAUSEON, OH 43567-1265
(419) 337-2391
(419) 335-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30019920
OH
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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