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NPI Code Detail

MEDICARE: ADVANCE DENTAL CARE OF TOLEDO

MEDICARE: ADVANCE DENTAL CARE OF TOLEDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry
2261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1275257156
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE DENTAL CARE OF TOLEDO
Provider Business Mailing Address
First Line : 5859 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1421
Country : US
Telephone Number : 419-474-9944
Fax Number :
Provider Business Practice Location Address
First Line : 5859 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1421
Country : US
Telephone Number : 419-474-9944
Fax Number :
Authorized Official
Title or Position : OWNER/PARTNER/DENTIST
Name : DR. MHD JALAL ALHAFFAR
Credential : DDS
Telephone Number : 419-474-9944
Provider Enumeration Date : 10/03/2022
Last Update Date : 10/03/2022

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Directions to “ADVANCE DENTAL CARE OF TOLEDO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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