Organization
SPENCERVILLE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK J RISOLVATO DDS (OWNER)
(419) 228-4036
Entity
Organization
Contact information
Practice address
201 N BROADWAY ST, SPENCERVILLE, OH 45887-1290
(419) 647-4972
(419) 647-6795
Mailing address
201 N BROADWAY ST, SPENCERVILLE, OH 45887-1290
(419) 647-4972
(419) 647-6795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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