G Scott Louderback DDS LLC

NPI #1285909184 in Oregon, Ohio

Provider Information

NPI Number: 1285909184
Entity Type: Organization
Organization Name: G Scott Louderback DDS LLC
Primary Specialty: Dentist
Enumeration Date: Mar 12, 2012
Last Updated: Mar 12, 2012

Practice Location

Address: 631 S WHEELING ST
City: Oregon
State: Ohio
ZIP Code: 43616-2742
Phone: (419) 693-1234

Authorized Official

Name: DR. GARY S LOUDERBACK, DDS
Title: OWNER
Phone: (419) 693-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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