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Organization

TUSCARAWAS COUNTY

Active
Other names
Tuscarawas County Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA J FANNING (EXECUTIVE DIRECTOR)
(330) 343-5555
Entity
Organization

Contact information

Practice address
897 E IRON AVE, DOVER, OH 44622-2030
(330) 343-5555
(330) 364-8946
Mailing address
897 E IRON AVE, DOVER, OH 44622-2030
(330) 343-5555
(330) 364-8946

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0242311
OH
Enumeration date
07/19/2011
Last updated
07/19/2011
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