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Organization
YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS
Active
Organization
YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENELL STUMP (MANAGER, L & C)
(615) 750-0343
Entity
Organization
Contact information
Practice address
3353 MAHONING AVE, YOUNGSTOWN, OH 44509-2617
(330) 792-9600
(330) 792-9650
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019316940001
—
PA
05
—
2712667
—
OH
Enumeration date
03/05/2007
Last updated
07/09/2014
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