Ohio Dental Professionals, Delisle, P.c.

NPI #1326656034 in Grove City, Ohio

Provider Information

NPI Number
1326656034
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
Jul 20, 2020
Last Updated
Jul 20, 2020

Practice Location

Address
3425 GRANT AVE STE A
State
Ohio
ZIP Code
43123-2512
Phone
(614) 875-6601

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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