| T M Wyland Dental Lab Ii Inc | |
|
947 Hallock Young Rd Sw Warren OH 44481-9636 | |
| (330) 824-2515 | |
| (330) 824-2333 |
| Full Name | T M Wyland Dental Lab Ii Inc |
|---|---|
| Speciality | Dental Laboratory |
| Location | 947 Hallock Young Rd Sw, Warren, Ohio |
| Authorized Official Name and Position | Myron Kenneth Biddle (TREASURER) |
| Authorized Official Contact | 8149468189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T M Wyland Dental Lab Ii Inc 947 Hallock Young Rd Sw Warren OH 44481-9636 Ph: (330) 824-2515 | T M Wyland Dental Lab Ii Inc 947 Hallock Young Rd Sw Warren OH 44481-9636 Ph: (330) 824-2515 |
| NPI Number | 1487877874 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487877874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 292200000X | Dental Laboratory | (* (Not Available)) | Primary |
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