DR. Alexander Jentes Mcilvaine, D.M.D.

NPI #1649533258 in Wadsworth, Ohio

Provider Information

NPI Number
1649533258
Entity Type
Individual
Name
DR. Alexander Jentes Mcilvaine, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jun 19, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
235 BROAD STREET
State
Ohio
ZIP Code
44281-2112
Phone
(330) 335-1563

Specialties & Taxonomy Codes

Specialty
Dentist

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