Individual
DR. GRANT OSCAR HUNSICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 WEST AVE, TALLMADGE, OH 44278-2296
(330) 730-4454
Mailing address
9978 BEVERLY LN, STREETSBORO, OH 44241-4986
(330) 730-4454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023740
OH
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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