Organization
DARBY CREEK DENTAL, INC. - DAVID W. CLEVELAND, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELIN R WUETHRICH (PRACTICE MANAGER)
(937) 644-8822
Entity
Organization
Contact information
Practice address
137 DAMASCUS RD, MARYSVILLE, OH 43040-9618
(937) 644-8822
(937) 644-1621
Mailing address
137 DAMASCUS RD, MARYSVILLE, OH 43040-9618
(937) 644-8822
(937) 644-1621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21561
OH
Other
Enumeration date
04/07/2008
Last updated
10/20/2017
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