| Sylvania Orthodontics, Inc. | |
|
6407 Monroe Street Sylvania OH 43560 | |
| (419) 882-1017 | |
| (419) 882-7571 |
| Full Name | Sylvania Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6407 Monroe Street, Sylvania, Ohio |
| Authorized Official Name and Position | Andre H. Haerian (PRESIDENT) |
| Authorized Official Contact | 4198821017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvania Orthodontics, Inc. 6407 Monroe Street Sylvania OH 43560 Ph: (419) 882-1017 | Sylvania Orthodontics, Inc. 6407 Monroe Street Sylvania OH 43560 Ph: (419) 882-1017 |
| NPI Number | 1306828215 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306828215 | NPI | - | NPPES |
| 12970 | Other | OH | PROVIDER LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12970 (Ohio) | Primary |
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