| Lima Community Dental-risolvato, Inc. | |
|
2115 Allentown Rd Lima OH 45805-1749 | |
| (419) 228-4036 | |
| (419) 228-6273 |
| Full Name | Lima Community Dental-risolvato, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2115 Allentown Rd, Lima, Ohio |
| Authorized Official Name and Position | Erik J Risolvato (OWNER) |
| Authorized Official Contact | 4192284036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Community Dental-risolvato, Inc. 2115 Allentown Rd Lima OH 45805-1749 Ph: (419) 228-4036 | Lima Community Dental-risolvato, Inc. 2115 Allentown Rd Lima OH 45805-1749 Ph: (419) 228-4036 |
| NPI Number | 1952551244 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952551244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30021809 (Ohio) | Primary |
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