Organization
PETER G MICHALOS DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G MICHALOS D.D.S. (PRESIDENT)
(330) 492-0134
Entity
Organization
Contact information
Practice address
4368 DRESSLER RD NW, SUITE 203, CANTON, OH 44718-2771
(330) 492-0134
(330) 492-0410
Mailing address
4368 DRESSLER RD NW, SUITE 203, CANTON, OH 44718-2771
(330) 492-0134
(330) 492-0410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598841421
NPI
OH
Enumeration date
05/17/2007
Last updated
05/23/2008
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