| Ohio Dental Professionals, Delisle, P.c. | |
|
2770 Som Center Rd Ste 1 Willoughby Hills OH 44094-9116 | |
| (440) 473-4746 | |
| Not Available |
| Full Name | Ohio Dental Professionals, Delisle, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2770 Som Center Rd Ste 1, Willoughby Hills, Ohio |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Dental Professionals, Delisle, P.c. 2770 Som Center Rd Ste 1 Willoughby Hills OH 44094-9116 Ph: () - | Ohio Dental Professionals, Delisle, P.c. 2770 Som Center Rd Ste 1 Willoughby Hills OH 44094-9116 Ph: (440) 473-4746 |
| NPI Number | 1851146583 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851146583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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