Organization
PROHEALTH MOBILE DENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHIE L ADAMS (OWNER/CEO)
(419) 491-7150
Entity
Organization
Contact information
Practice address
12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(419) 873-6326
Mailing address
12611 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(419) 873-6326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023358
OH
Other
Enumeration date
06/05/2012
Last updated
08/11/2015
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