Individual
DR. GARY SCOTT LOUDERBACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1359 S HOLLAND SYLVANIA RD, HOLLAND, OH 43528-8423
(419) 865-4441
(419) 865-9032
Mailing address
1359 S HOLLAND SYLVANIA RD, HOLLAND, OH 43528-8423
(419) 865-4441
(419) 865-9032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022819
OH
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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