Organization
HOLMES CO. BOARD OF MRDD
Active
Other names
HCTC Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. F. SCOTT BRACE (SUPERINTENDENT)
(330) 674-8045
Entity
Organization
Contact information
Practice address
8001 TOWNSHIP ROAD 574, HOLMESVILLE, OH 44633-9751
(330) 674-8045
(330) 674-5182
Mailing address
8001 TOWNSHIP ROAD 574, HOLMESVILLE, OH 44633-9751
(330) 674-8045
(330) 674-5182
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2280679
—
OH
Enumeration date
12/13/2006
Last updated
08/22/2020
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