Organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Family Dental Care of Medina
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
CARMEN WOODS (CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
890 N COURT ST, MEDINA, OH 44256-1719
(330) 591-9934
Mailing address
890 N COURT ST, MEDINA, OH 44256-1719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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