Organization
MONTAG AND OCRAINICIUC DDS, LLC
Active
Parent organization
MONTAG AND OCRAINICIUC DDS, LLC
Other names
Hometown Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTAG AND OCRAINICIUC DDS, LLC
Authorized official
DR. DALLAS MONTAG DDS (DENTIST)
(740) 238-3456
Entity
Organization
Contact information
Practice address
224 LINCOLN WAY E, MASSILLON, OH 44646-8416
(740) 238-3456
Mailing address
224 LINCOLN WAY E, MASSILLON, OH 44646-8416
(740) 238-3456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932788825
DENTIST
OH
Enumeration date
07/08/2022
Last updated
07/08/2022
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