Individual
DR. PETER JOHN DISALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9977 STATE ROUTE 185, VERSAILLES, OH 45380-9568
(937) 526-3454
Mailing address
10484 KLEY RD, VERSAILLES, OH 45380-9561
(937) 526-5858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30 01307
OH
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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