Organization
MOBILE DENTAL SERVICES OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J KASTNER DDS (OFFICIAL)
(419) 882-5000
Entity
Organization
Contact information
Practice address
5151 S. MAIN ST., SYLVANIA, OH 43560-2184
(419) 882-5000
(419) 882-5008
Mailing address
5151 S. MAIN ST., SYLVANIA, OH 43560-2184
(419) 882-5000
(419) 882-5008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2719160
—
OH
Enumeration date
03/05/2007
Last updated
02/17/2016
Update your record
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