| Ohio Dental Professionals, Delisle, P.c. | |
|
485 N Aurora Rd Aurora OH 44202-8721 | |
| (330) 562-1644 | |
| Not Available |
| Full Name | Ohio Dental Professionals, Delisle, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 485 N Aurora Rd, Aurora, Ohio |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Dental Professionals, Delisle, P.c. 485 N Aurora Rd Aurora OH 44202-8721 Ph: (330) 562-1644 | Ohio Dental Professionals, Delisle, P.c. 485 N Aurora Rd Aurora OH 44202-8721 Ph: (330) 562-1644 |
| NPI Number | 1063061703 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063061703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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