Organization
STREETSBORO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARK DANCZAK D.M.D. (ASSOCIATE DENTIST)
(216) 280-1700
Entity
Organization
Contact information
Practice address
1727 STREETSBORO PLZ, STREETSBORO, OH 44241-5635
(330) 626-3814
Mailing address
1727 STREETSBORO PLZ, STREETSBORO, OH 44241-5635
(330) 626-3814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.024612
OH
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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