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334 E Milltown Rd Wooster OH 44691-1248 | |
| (330) 262-0206 | |
| (330) 262-3809 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 334 E Milltown Rd, Wooster, Ohio |
| Authorized Official Name and Position | Lee Hartzler (EMPLOYER) |
| Authorized Official Contact | 3304651460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
334 E Milltown Rd Wooster OH 44691-1248 Ph: (330) 262-0206 | 334 E Milltown Rd Wooster OH 44691-1248 Ph: (330) 262-0206 |
| NPI Number | 1124603725 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124603725 | NPI | - | NPPES |
| 1922410810 | Other | OH | LEE T. HARTZLER |
| 1306984224 | Other | OH | DANIEL S. ZUPSANSKY |
| 1245758226 | Other | OH | TYLER A. OVERMYER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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