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201 E Main St Suite 4 Lexington OH 44904-1366 | |
(419) 884-0011 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 201 E Main St, Lexington, Ohio |
Authorized Official Name and Position | Roscoe William Webster (PRESIDENT/OWNER) |
Authorized Official Contact | 4198840011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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201 E Main St Suite 4 Lexington OH 44904-1366 Ph: (419) 884-0011 | 201 E Main St Suite 4 Lexington OH 44904-1366 Ph: (419) 884-0011 |
NPI Number | 1821271610 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 12/14/2007 |
Identifier | Type | State | Issuer |
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1821271610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 30022438 (Ohio) | Primary |