Individual
MARTIN H TELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5433 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 967-5277
Mailing address
5433 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 967-5277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18293
OH
Other
Enumeration date
05/01/2007
Last updated
08/13/2007
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