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Individual

DR. THOMAS EUGENE ROLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
20508 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137-2900
(216) 663-2292
(216) 663-2294
Mailing address
2385 HILLCREST LN, PARMA, OH 44134-6514
(440) 842-6021

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18998
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
341940255034
CARESOURCE
OH
05
765748
OH
Enumeration date
04/10/2006
Last updated
02/20/2014
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