Organization
MONROEVILLEDENTALASSOCIATESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE LEE TRASK DDS (DENTIST)
(419) 465-2574
Entity
Organization
Contact information
Practice address
136 RIDGE ST N, SUITE C, MONROEVILLE, OH 44847-9469
(419) 465-2574
(419) 465-2598
Mailing address
136 RIDGE ST N, SUITE C, MONROEVILLE, OH 44847-9469
(419) 465-2574
(419) 465-2598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018914
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2678526
—
OH
Enumeration date
04/29/2008
Last updated
04/29/2008
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