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Organization

COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC

Active
Other names
Lisbon Community Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
BETH A WEIR (CHIEF OPERATING OFFICER)
(330) 424-7221
Entity
Organization

Contact information

Practice address
38722 SALTWELL RD, LISBON, OH 44432-8303
(330) 424-4192
(330) 424-3137
Mailing address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 424-7221
(330) 424-3731

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121031
OH
Enumeration date
09/12/2006
Last updated
07/13/2007
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