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Organization
MARK A STRAKA DDS INC
Active
Organization
MARK A STRAKA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A STRAKA DDS (OWNER)
(614) 267-0385
Entity
Organization
Contact information
Practice address
3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3907
(614) 267-0385
Mailing address
3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3907
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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