Ellerhorst Dental, LLC

NPI #1740035468 in Mantua, Ohio

Provider Information

NPI Number
1740035468
Entity Type
Organization
Organization Name
Ellerhorst Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 17, 2024
Last Updated
Apr 17, 2024

Practice Location

Address
10730 MAIN ST APT 2
City
Mantua
State
Ohio
ZIP Code
44255-8951
Phone
(330) 274-3495

Authorized Official

Name
MRS. LYDIA ELLERHORST, DDS
Title
DENTIST/OWNER
Phone
(330) 221-4270

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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