# FORT MEIGS DENTAL DR. LAUREN KOLLAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588136113
- **Authorized official:** LAUREN KOLLAR (OWNER/DENTIST)
- **Authorized official phone:** (419) 874-3129

## Contact information

- **Practice address:** 880 COMMERCE DR STE A, PERRYSBURG, OH 43551-5641
- **Practice address phone:** (419) 874-3129
- **Mailing address:** 880 COMMERCE DR STE A, PERRYSBURG, OH 43551-5641
- **Mailing address phone:** (419) 874-3129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2018
- **Last updated:** 12/20/2018