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Organization

MAHONING AVENUE DENTAL HEALTH CENTER MICHAEL CRITES DDS INC

Active
Other names
Jamboree Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MAGGI EVANS (SR. CREDENTIALING SPECIALIST)
(720) 272-7558
Entity
Organization

Contact information

Practice address
3353 MAHONING AVE, YOUNGSTOWN, OH 44509-2617
(330) 792-9600
Mailing address
3353 MAHONING AVE, YOUNGSTOWN, OH 44509-2617
(330) 792-9600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30019501
OH

Other

Enumeration date
08/08/2014
Last updated
02/28/2025
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