Ohio Dental Professionals, Delisle, P.c.

NPI #1063024651 in Canfield, Ohio

Provider Information

NPI Number
1063024651
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
Aug 17, 2020
Last Updated
Aug 17, 2020

Practice Location

Address
5711 SHIELDS RD STE A
State
Ohio
ZIP Code
44406-9813
Phone
(330) 533-0804

Authorized Official

Name
TABATHA LEMKE
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-6078

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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