Organization
DOVER FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M TERRENCE SIMON DO (PRESIDENT)
(330) 343-2749
Entity
Organization
Contact information
Practice address
2919 CHERRYWOOD CIR NW, MASSILLON, OH 44646-9385
(330) 837-5951
(330) 832-9936
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395255
—
OH
Enumeration date
09/13/2006
Last updated
10/21/2009
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