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Organization

DANIEL S ZUPSANSKY DDS, LEE T HARTZLER DDS, & TYLER A OVERMYER DDS INC

Active
Other names
Wooster and Loudonville Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE HARTZLER DDS (EMPLOYER)
(330) 465-1460
Entity
Organization

Contact information

Practice address
334 E MILLTOWN RD, WOOSTER, OH 44691-1248
(330) 262-0206
(330) 262-3809
Mailing address
334 E MILLTOWN RD, WOOSTER, OH 44691-1248
(330) 262-0206
(330) 262-3809

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245758226
TYLER A. OVERMYER
OH
01
1306984224
DANIEL S. ZUPSANSKY
OH
01
1922410810
LEE T. HARTZLER
OH
Enumeration date
03/15/2021
Last updated
12/05/2024
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