Ohio Dental Professionals, Delisle, P.c.

NPI #1043756372 in Solon, Ohio

Provider Information

NPI Number: 1043756372
Entity Type: Organization
Organization Name: Ohio Dental Professionals, Delisle, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2017
Last Updated: Jan 10, 2017

Practice Location

Address: 33001 SOLON RD STE 201
City: Solon
State: Ohio
ZIP Code: 44139-2864
Phone: (440) 248-2035

Authorized Official

Name: CASSANDRA TEUTSCH
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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