Ohio Street Family Dental Group, LLC
NPI #1083108435 in Elyria, Ohio
Provider Information
- NPI Number
- 1083108435
- Entity Type
- Organization
- Organization Name
- Ohio Street Family Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2018
- Last Updated
- Jun 19, 2018
Practice Location
Authorized Official
- Name
- MRS. SHEONA KIMMEL
- Title
- OFFICE MANAGER
- Phone
- (440) 937-8878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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