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Organization

DITERLIZZI DENTAL, LLC

Active
Other names
Spring Valley Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON DERRICK DITERLIZZI DDS (DENTIST)
(419) 340-2054
Entity
Organization

Contact information

Practice address
1359 S HOLLAND SYLVANIA RD, HOLLAND, OH 43528-8423
(419) 865-4441
Mailing address
1359 S HOLLAND SYLVANIA RD, HOLLAND, OH 43528-8423
(419) 865-4441

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/06/2019
Last updated
06/06/2019
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