Wauseon Dental Group L.l.c.

NPI #1003231994 in Wauseon, Ohio

Provider Information

NPI Number
1003231994
Entity Type
Organization
Organization Name
Wauseon Dental Group L.l.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 28, 2014
Last Updated
Feb 28, 2014

Practice Location

Address
229 N FRANKLIN ST
State
Ohio
ZIP Code
43567-1265
Phone
(419) 337-2391

Authorized Official

Name
MISSI L PELOK
Title
OFFICE MGR.
Phone
(419) 337-2391

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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