555 W Elm St Dentistry Llc

NPI 1043351034 - Dentist - 1223G0001X

NPI Details
NPI 1043351034
Enumeration Date 02/10/2007
Last Updated 03/19/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID WAYNE DAVID
Position OWNER
Phone (419) 229-0776
Fax (419) 229-3828
Practice Location
555 W ELM ST
LIMA OH, 45801-4757, US
Phone (419) 229-0776
Fax (419) 229-3828
Business Location
555 W ELM ST
LIMA OH, 45801-4757, US
Phone (419) 229-0776
Fax (419) 229-3828
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 30 . 20842
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According to our database, 555 W Elm St Dentistry Llc NPI is 1043351034, taxonomy code is 1223G0001X and license number is 30 . 20842, license state is located at Ohio. 555 W Elm St Dentistry Llc physically located at 555 W Elm St, Lima OH, 45801-4757. NPI Number 1033115704 has the healthcare provider type.

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1043351034 NPI number is provided on an as is basis without warranty of any kind. 1043351034 is maintained by the National Plan & Provider Enumeration System. The contents of 555 W Elm St Dentistry Llc are for informational purposes only.