Individual
DR. MARK KOMFORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16909 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44120-3725
(216) 862-0544
Mailing address
16909 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44120-3725
(216) 862-0544
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.025704
OH
Other
Enumeration date
08/23/2010
Last updated
10/02/2019
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