Individual
DR. EUGENE S. SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
6407 MONROE STREET, SYLVANIA, OH 43560
(419) 882-1017
(419) 882-7571
Mailing address
6407 MONROE STREET, SYLVANIA, OH 43560
(419) 882-1017
(419) 885-7571
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12970
OH
Other
Enumeration date
01/15/2009
Last updated
10/15/2012
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