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Individual

DR. THERESA REYNOLDS LOSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
123 N COURT ST, MARYSVILLE, OH 43040-1101
(937) 642-8500
Mailing address
123 N COURT ST, MARYSVILLE, OH 43040-1101
(937) 642-8500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022215
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2663336
OH
Enumeration date
10/04/2006
Last updated
02/16/2008
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