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Organization

OHIO DENTAL PROFESSIONALS WORKMAN, PC

Active
Parent organization
OHIO DENTAL PROFESSIONALS WORKMAN, PC
Other names
MyOntarioDentist.com
Organization subpart
Yes

Provider details

NPI number
Legal business name
OHIO DENTAL PROFESSIONALS WORKMAN, PC
Authorized official
MRS. KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
2193 VILLAGE MALL DR, ONTARIO, OH 44906-1162
(419) 529-9092
(419) 529-6529
Mailing address
2193 VILLAGE MALL DR, ONTARIO, OH 44906-1162
(419) 529-9092
(419) 529-6529

Taxonomy

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

Other

Enumeration date
08/03/2010
Last updated
05/09/2014
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