City Wide Dental Services

NPI #1164530259 in Toledo, Ohio

Provider Information

NPI Number: 1164530259
Entity Type: Organization
Organization Name: City Wide Dental Services
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 28, 2006
Last Updated: Oct 2, 2007

Practice Location

Address: 725 MIAMI ST
City: Toledo
State: Ohio
ZIP Code: 43605-2278
Phone: (419) 693-4712

Authorized Official

Name: MARK JOSEPH HEENAN, DMD
Title: PRESIDENT
Phone: (419) 693-4712

Specialties & Taxonomy Codes

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

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