Tri-county Dental Center, Llc | |
521 Summit St Fostoria OH 44830-1527 | |
(419) 435-3255 | |
(419) 435-2283 |
Full Name | Tri-county Dental Center, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 521 Summit St, Fostoria, Ohio |
Authorized Official Name and Position | Derik E. Utz (OWNER) |
Authorized Official Contact | 4194353255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tri-county Dental Center, Llc 521 Summit St Fostoria OH 44830-1527 Ph: (419) 435-3255 | Tri-county Dental Center, Llc 521 Summit St Fostoria OH 44830-1527 Ph: (419) 435-3255 |
NPI Number | 1922043520 |
---|---|
Provider Enumeration Date | 06/18/2006 |
Last Update Date | 12/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922043520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |