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Individual

DR. STEPHEN SCOTT PESICEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
567 N MARKET ST, WOOSTER, OH 44691-3400
(330) 262-0206
Mailing address
6 CEREMONIAL CLOSE, WOOSTER, OH 44691-6905
(330) 262-4448

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19610
OH
1223G0001X
General Practice Dentistry
3936
SC

Other

Enumeration date
02/09/2007
Last updated
07/08/2007
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