| Family Tree Dental Outreach | |
|
30 Acme St Marietta OH 45750-3306 | |
| (740) 373-3136 | |
| Not Available |
| Full Name | Family Tree Dental Outreach |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 Acme St, Marietta, Ohio |
| Authorized Official Name and Position | Donald Austin Rehl (PARTNER/ MANAGING MEMBER) |
| Authorized Official Contact | 7403747060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Tree Dental Outreach 319 Colegate Dr Marietta OH 45750-9558 Ph: (740) 374-7060 | Family Tree Dental Outreach 30 Acme St Marietta OH 45750-3306 Ph: (740) 373-3136 |
| NPI Number | 1124429212 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124429212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30022798 (Ohio) | Primary |
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