Organization
NORTH LIMA DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK PETRAKOS DDS (OWNER)
(330) 549-2800
Entity
Organization
Contact information
Practice address
11695 MARKET ST, NORTH LIMA, OH 44452
(330) 549-2800
(330) 549-2660
Mailing address
11695 MARKET ST, PO BOX 304, NORTH LIMA, OH 44452
(330) 549-2800
(330) 549-2660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188010
—
OH
Enumeration date
04/11/2008
Last updated
04/11/2008
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