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Individual

DR. THEODORE ANTHONY TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1730 SCHROCK RD, COLUMBUS, OH 43229-1575
(614) 890-1333
(614) 890-4945
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2132
(844) 399-0385

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023199
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3060397
OH
Enumeration date
07/03/2008
Last updated
11/01/2017
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