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Individual

RICHARD D GENTILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 KENTWOOD DR STE C, YOUNGSTOWN, OH 44512-5061
(330) 758-2001
(330) 726-3577
Mailing address
821 KENTWOOD DR STE C, YOUNGSTOWN, OH 44512-5061
(330) 758-2001
(330) 726-3577

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
35048093G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0666837
OH
Enumeration date
10/26/2006
Last updated
11/30/2021
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