# MARK A. DOMO, D.D.S., INC.

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

## Provider details

- **NPI number:** 1750595732
- **Authorized official:** DR. MARK A DOMO D.D.S. (PRESIDENT)
- **Authorized official phone:** (440) 442-6666

## Contact information

- **Practice address:** 5533 MAYFIELD RD., LYNDHURST, OH 44124
- **Practice address phone:** (440) 442-6666
- **Practice address fax:** (440) 442-6667
- **Mailing address:** 5533 MAYFIELD RD., LYNDHURST, OH 44124
- **Mailing address phone:** (440) 442-6666
- **Mailing address fax:** (440) 442-6667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 18088 | OH | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020