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Organization
TRI-COUNTY DENTAL CENTER, LLC
Active
Organization
TRI-COUNTY DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK E. UTZ D.D.S. (OWNER)
(419) 435-3255
Entity
Organization
Contact information
Practice address
521 SUMMIT ST, FOSTORIA, OH 44830-1527
(419) 435-3255
(419) 435-2283
Mailing address
521 SUMMIT ST, FOSTORIA, OH 44830-1527
(419) 435-3255
(419) 435-2283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
12/31/2007
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