Individual
DR. JEREMY MICHAEL CAPETILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8740 E MARKET ST STE 1, WARREN, OH 44484
(330) 856-9989
Mailing address
8740 E MARKET ST STE 1, WARREN, OH 44484-2324
(330) 856-9989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.24705
OH
1223E0200X
Endodontics
Primary
30.24705
OH
Other
Enumeration date
05/10/2016
Last updated
08/08/2018
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