# ANDREW S HOLPUCH DDS, PHD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Garrettsville Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619348653
- **Authorized official:** DR. ANDREW STEPHEN HOLPUCH D.D.S., PH.D. (OFFICER)
- **Authorized official phone:** (330) 527-4313

## Contact information

- **Practice address:** 8143 WINDHAM ST, GARRETTSVILLE, OH 44231-1112
- **Practice address phone:** (330) 527-4313
- **Practice address fax:** (330) 527-4314
- **Mailing address:** 8143 WINDHAM ST, GARRETTSVILLE, OH 44231-1112
- **Mailing address phone:** (330) 527-4313
- **Mailing address fax:** (330) 527-4314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30-024225 | OH | Yes |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 10/16/2015