Organization
FAMILY DENTAL TEAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D GEORGE D.D.S. (PRESIDENT/OWNER)
(330) 376-9424
Entity
Organization
Contact information
Practice address
620 RIDGEWOOD XING, SUITE K, FAIRLAWN, OH 44333-3531
(330) 376-9424
(330) 376-2298
Mailing address
620 RIDGEWOOD XING, SUITE K, FAIRLAWN, OH 44333-3531
(330) 376-9424
(330) 376-2298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-012228
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2531148
—
OH
Enumeration date
03/25/2008
Last updated
08/13/2009
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