Individual
MARK A STRAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3996
(614) 267-0385
(614) 267-1407
Mailing address
3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3996
(614) 267-0385
(614) 267-1407
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30015835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391179
—
OH
Enumeration date
02/28/2006
Last updated
07/20/2007
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