Russell T Thaler, DMD,MS

NPI #1215145693 in Maumee, Ohio

Provider Information

NPI Number: 1215145693
Entity Type: Individual
Name: Russell T Thaler, DMD,MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD,MS
Enumeration Date: May 18, 2007
Last Updated: Nov 30, 2011

Practice Location

Address: 5757 MONCLOVA RD
Address 2: SUITE 12
City: Maumee
State: Ohio
ZIP Code: 43537-1863
Phone: (419) 893-0253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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