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1215145693
RUSSELL T THALER
MAUMEE, OH
NPI
1215145693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OH 30-023000)
Enumeration Date
2007-05-18
Last Update Date
2011-11-30
Business Address
-- RUSSELL T THALER DMD,MS
5757 MONCLOVA RD SUITE 12
MAUMEE, OH 43537-1863
Phone number: 419-893-0253
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Mailing Address
-- RUSSELL T THALER DMD,MS
9024 CEDAR BEND RD
SYLVANIA, OH 43560-9394
Phone number: 419-340-8455
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