Organization
ANDREW S HOLPUCH DDS, PHD, INC
Active
Other names
Garrettsville Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW STEPHEN HOLPUCH D.D.S., PH.D. (OFFICER)
(330) 527-4313
Entity
Organization
Contact information
Practice address
8143 WINDHAM ST, GARRETTSVILLE, OH 44231-1112
(330) 527-4313
(330) 527-4314
Mailing address
8143 WINDHAM ST, GARRETTSVILLE, OH 44231-1112
(330) 527-4313
(330) 527-4314
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30-024225
OH
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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