Ohio Dental Professionals, Delisle, P.c.
NPI #1801387972 in Streetsboro, Ohio
Provider Information
- NPI Number
- 1801387972
- 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
- May 24, 2018
- Last Updated
- Aug 29, 2019
Practice Location
- Address
- 9305 MARKET SQUARE DR
- City
- Streetsboro
- State
- Ohio
- ZIP Code
- 44241-5294
- Phone
- (330) 422-0011
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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