Individual
DR. JEREMY S WANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 S CHAPEL ST, LOUISVILLE, OH 44641-1612
(330) 875-2200
(330) 875-2403
Mailing address
309 S CHAPEL ST, LOUISVILLE, OH 44641-1612
(330) 875-2200
(330) 875-2403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-021605
OH
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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