Organization
MARK A . & MICHAEL D. HABLITZEL, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D HABLITZEL D.D.S. (DENTIST)
(419) 734-2175
Entity
Organization
Contact information
Practice address
304 1/2 MADISON ST, PORT CLINTON, OH 43452-1921
(419) 734-2175
Mailing address
304 1/2 MADISON ST, PORT CLINTON, OH 43452-1921
(419) 734-2175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
013885
OH
1223G0001X
General Practice Dentistry
Primary
15756
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392061
—
OH
Enumeration date
09/06/2006
Last updated
03/25/2008
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