Organization
ANDREWS DENTAL LABORATORIES INC
Active
Other names
Louisville Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BIDDE (PRESIDENT)
(330) 875-2222
Entity
Organization
Contact information
Practice address
1338 N CHAPEL ST, SUITE 3, LOUISVILLE, OH 44641-2407
(330) 875-2222
(330) 232-9595
Mailing address
1338 N CHAPEL ST, SUITE 3, LOUISVILLE, OH 44641-2407
(330) 875-2222
(330) 232-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074285
—
OH
05
—
2037076
—
OH
Enumeration date
11/17/2014
Last updated
11/17/2014
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