| NPI | 1770142564 |
|---|---|
| Doing Business As | SPRING VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON DERRICK DITERLIZZI Dentist 419-340-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |