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Individual

DR. JACK PAUL MINNILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1012 STATE ROUTE 521 STE 202, DELAWARE, OH 43015-8003
(740) 417-9565
(614) 443-8335
Mailing address
1012 STATE ROUTE 521 STE 202, DELAWARE, OH 43015-8003
(740) 417-9565

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.24727
OH

Other

Enumeration date
05/10/2016
Last updated
06/29/2022
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