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Organization
WALTER D MICK DDS INC
Active
Organization
WALTER D MICK DDS INC
Active
Other names
Mick Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER D MICK DDS (PRES)
(614) 864-4618
Entity
Organization
Contact information
Practice address
1561 BRICE RD, REYNOLDSBURG, OH 43068-2701
(614) 864-4618
Mailing address
1561 BRICE RD, REYNOLDSBURG, OH 43068-2701
(614) 864-4618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH 30-18530
OH
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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