Organization
NORTHWEST OHIO PERIODONTICS, BRIAN M. ROY D.D.S., M.S., LLC
Active
Other names
Northwest Ohio Periodontics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MICHAEL ROY D.D.S., M.S. (MEMBER)
(419) 865-7692
Entity
Organization
Contact information
Practice address
7100 SPRING MEADOWS W DR, SUITE A, HOLLAND, OH 43528-7202
(419) 865-7692
(419) 865-9731
Mailing address
7100 SPRING MEADOWS W DR, SUITE A, HOLLAND, OH 43528-7202
(419) 865-7692
(419) 865-9731
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30.24791
OH
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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