NPIRadar

Matthew J Kettinger, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Galion, OH

NPI
1881764488
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
18101 (OH)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-11-09
Last updated
2007-07-08
Practice location
112 S Market St
Galion, OH 44833-2626
(419) 468-1100

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