Spencerville Dental Associates | |
201 N Broadway St Spencerville OH 45887-1290 | |
(419) 647-4972 | |
(419) 647-6795 |
Full Name | Spencerville Dental Associates |
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Speciality | Dentist - General Practice |
Location | 201 N Broadway St, Spencerville, 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 |
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Spencerville Dental Associates 201 N Broadway St Spencerville OH 45887-1290 Ph: (419) 647-4972 | Spencerville Dental Associates 201 N Broadway St Spencerville OH 45887-1290 Ph: (419) 647-4972 |
NPI Number | 1417395138 |
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Provider Enumeration Date | 06/05/2013 |
Last Update Date | 06/05/2013 |
Identifier | Type | State | Issuer |
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1417395138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |