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Individual

DR. THOMAS J PESARCHICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8307 WINDHAM STREET, GARRETTESVILLE, OH 44231
(330) 527-3368
(330) 527-3369
Mailing address
8307 WINDHAM STREET, UNIVERSITY OF GARRETTSVILLE SKY PLAZA PROFESSIONAL BUIL, GARRETTESVILLE, OH 44231
(330) 527-3368
(330) 527-3369

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021649
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2399113
OH
Enumeration date
08/04/2006
Last updated
11/16/2012
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