Organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Exquisite Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
5711 SHIELDS RD STE A, CANFIELD, OH 44406-9813
(330) 533-0804
Mailing address
5711 SHIELDS RD STE A, CANFIELD, OH 44406-9813
(330) 533-0804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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