Organization
SYLVANIA DENTAL, GREG THEIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THEIS DDS (OWNER/DENTIST)
(419) 882-1300
Entity
Organization
Contact information
Practice address
6000 RENAISSANCE PL, STE B, TOLEDO, OH 43623-4714
(419) 882-1300
Mailing address
6000 RENAISSANCE PL, STE B, TOLEDO, OH 43623-4714
(419) 882-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30021577
OH
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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