| 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 |