Organization
EMILIO D. FERRARA, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA L BLACK (OFFICE MANAGER)
(330) 678-9942
Entity
Organization
Contact information
Practice address
1930 SR 59, SUITEE, KENT, OH 44240
(330) 678-9942
(330) 678-3365
Mailing address
1930 SR 59, SUITEE, KENT, OH 44240
(330) 678-9942
(330) 678-3365
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2597104
—
OH
Enumeration date
08/31/2007
Last updated
08/31/2007
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