# MARK A STRAKA DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578833174
- **Authorized official:** DR. MARK A STRAKA DDS (OWNER)
- **Authorized official phone:** (614) 267-0385

## Contact information

- **Practice address:** 3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3907
- **Practice address phone:** (614) 267-0385
- **Mailing address:** 3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 01/12/2012