| Ohio Dental Professionals, Delisle, P.c. | |
|
5951 Heatherdowns Blvd Ste 1 Toledo OH 43614-4601 | |
| (419) 866-0999 | |
| Not Available |
| Full Name | Ohio Dental Professionals, Delisle, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5951 Heatherdowns Blvd Ste 1, Toledo, Ohio |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Dental Professionals, Delisle, P.c. 5951 Heatherdowns Blvd Ste 1 Toledo OH 43614-4601 Ph: () - | Ohio Dental Professionals, Delisle, P.c. 5951 Heatherdowns Blvd Ste 1 Toledo OH 43614-4601 Ph: (419) 866-0999 |
| NPI Number | 1942896204 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942896204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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