Organization
CHARLES J. EDELEN, D.D.S., INC.
Active
Other names
Midwest Ohio Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J EDELEN D.D.S. (PRESIDENT)
(937) 492-2848
Entity
Organization
Contact information
Practice address
425 W RUSSELL RD, SIDNEY, OH 45365-1454
(937) 492-2848
(937) 492-8615
Mailing address
425 W RUSSELL RD, SIDNEY, OH 45365-1454
(937) 492-2848
(937) 492-8615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.017977
OH
Other
Enumeration date
04/15/2008
Last updated
03/16/2011
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