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Organization

PENTURF DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY PENTURF (DENTIST)
(330) 821-7244
Entity
Organization

Contact information

Practice address
800 S SAWBURG AVE, ALLIANCE, OH 44601-2715
(330) 821-7244
(330) 821-7533
Mailing address
800 S SAWBURG AVE, ALLIANCE, OH 44601-2715
(330) 821-7533

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0387915
OH
Enumeration date
12/20/2011
Last updated
12/20/2011
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