| Myontariodentist.com | |
|
2193 Village Mall Dr Ontario OH 44906-1162 | |
| (419) 529-9092 | |
| (419) 529-6529 |
| Full Name | Myontariodentist.com |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2193 Village Mall Dr, Ontario, Ohio |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myontariodentist.com 2193 Village Mall Dr Ontario OH 44906-1162 Ph: (419) 529-9092 | Myontariodentist.com 2193 Village Mall Dr Ontario OH 44906-1162 Ph: (419) 529-9092 |
| NPI Number | 1720392616 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720392616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Ohio) | Primary |
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