# CANDM CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ohio Pediatric Dental Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952820102
- **Authorized official:** DR. MOIRA GIOITTA-TUCKER MD (PHYSICIAN/EMPLOYEE)
- **Authorized official phone:** (330) 598-1556

## Contact information

- **Practice address:** 4100 DERRWOOD DR, AKRON, OH 44333-1134
- **Practice address phone:** (330) 598-1556
- **Practice address fax:** (330) 294-4331
- **Mailing address:** 4100 DERRWOOD DR, AKRON, OH 44333-1134
- **Mailing address phone:** (330) 598-1556
- **Mailing address fax:** (330) 294-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 35.075780 | OH | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 35.075780 | OH | Yes |

## Other

- **Enumeration date:** 09/19/2017
- **Last updated:** 07/21/2022