John James Walsh, Dmd, Llc | |
4664 Mahoning Ave Nw Warren OH 44483-1419 | |
(330) 847-8122 | |
(330) 847-8122 |
Full Name | John James Walsh, Dmd, Llc |
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Speciality | Dentist - General Practice |
Location | 4664 Mahoning Ave Nw, Warren, Ohio |
Authorized Official Name and Position | John James Walsh (OWNER) |
Authorized Official Contact | 3308478122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John James Walsh, Dmd, Llc 4664 Mahoning Ave Nw Warren OH 44483-1419 Ph: (330) 847-8122 | John James Walsh, Dmd, Llc 4664 Mahoning Ave Nw Warren OH 44483-1419 Ph: (330) 847-8122 |
NPI Number | 1568593192 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 04/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568593192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30-021154 (Ohio) | Primary |
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