Organization
MANSFIELD DENTAL SLEEP SOLUTION
Active
Parent organization
MANSFIELD DENTAL SLEEP SOLUTION
Other names
Mansfield Dental Sleep Solution
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANSFIELD DENTAL SLEEP SOLUTION
Authorized official
DR. CHARLES LIU DMD (DENTIST/SOLE PROPERITOR)
(419) 638-3131
Entity
Organization
Contact information
Practice address
2558 W 4TH ST, ONTARIO, OH 44906-1209
(419) 683-3131
Mailing address
2558 W 4TH ST, ONTARIO, OH 44906-1209
(419) 683-3131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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