Organization
NILES FAMILY DENTISTRY ASSOCIATES , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED SCOTT SANTUCCI DMD (DENTIST)
(330) 652-2676
Entity
Organization
Contact information
Practice address
827 ROBBINS AVE, NILES, OH 44446-2431
(330) 652-2676
Mailing address
827 ROBBINS AVE, NILES, OH 44446-2431
(330) 652-2676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0833334
—
OH
Enumeration date
03/28/2008
Last updated
09/02/2014
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