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Organization
VANHOOSE UPPER SANDUSKY DENTAL
Active
Organization
VANHOOSE UPPER SANDUSKY DENTAL
Active
Other names
Upper Sandusky Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL BLAKE VANHOOSE DDS (DENTIST/OWNER)
(614) 370-8590
Entity
Organization
Contact information
Practice address
646 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1028
(419) 294-2125
Mailing address
646 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1028
(419) 294-2125
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.024515
OH
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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