Individual
KEVIN C YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4913 WEST MAIN ST., BERLIN, OH 44610
(330) 893-3141
(330) 893-3513
Mailing address
4913 WEST MAIN ST., BERLIN, OH 44610
(330) 893-3141
(330) 893-3513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016814
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
TAXONOMY CODE
OH
01
—
30016814
STATE LICENSE NUMBER
OH
Enumeration date
08/25/2006
Last updated
07/08/2007
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