Individual
JOHN D. CERCEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3140 DUSTIN RD, OREGON, OH 43616-4341
(419) 698-3782
(419) 698-9560
Mailing address
3140 DUSTIN RD, OREGON, OH 43616-4341
(419) 698-3782
(419) 698-9560
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30212421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122594
—
OH
Enumeration date
05/05/2006
Last updated
07/09/2007
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