Organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Toledo Family Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
5951 HEATHERDOWNS BLVD STE 1, TOLEDO, OH 43614-4601
(419) 866-0999
Mailing address
5951 HEATHERDOWNS BLVD STE 1, TOLEDO, OH 43614-4601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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