| Timothy J. Iten, D.d.s., Inc. | |
|
245 Sterkel Blvd Suite 101 Mansfield OH 44907-1507 | |
| (419) 522-5437 | |
| (419) 522-1631 |
| Full Name | Timothy J. Iten, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 245 Sterkel Blvd, Mansfield, Ohio |
| Authorized Official Name and Position | Timothy James Iten (OWNER) |
| Authorized Official Contact | 4195225437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Iten, D.d.s., Inc. 245 Sterkel Blvd Suite 101 Mansfield OH 44907-1507 Ph: (419) 522-5437 | Timothy J. Iten, D.d.s., Inc. 245 Sterkel Blvd Suite 101 Mansfield OH 44907-1507 Ph: (419) 522-5437 |
| NPI Number | 1437464849 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437464849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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