| NPI | 1124603725 |
|---|---|
| Doing Business As | WOOSTER AND LOUDONVILLE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LEE HARTZLER Employer 330-465-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-12-05 |