Organization
MAXTOWN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M ULM D.D.S (OWNER)
(419) 681-0337
Entity
Organization
Contact information
Practice address
925 N STATE ST, SUITE D, WESTERVILLE, OH 43082-8023
(419) 681-0337
Mailing address
925 N STATE ST, SUITE D, WESTERVILLE, OH 43082-8023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23789
OH
Other
Enumeration date
03/11/2015
Last updated
03/17/2015
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