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Organization

ANTHONY E BISCONTI DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY EDWARD BISCONTI DDS (PRESIDENT OWNER)
(330) 758-0208
Entity
Organization

Contact information

Practice address
908 SAHARA TRAIL, SUITE 2, YOUNGSTOWN, OH 44514-3667
(330) 758-0208
(330) 758-2801
Mailing address
908 SAHARA TRAIL, SUITE 2, YOUNGSTOWN, OH 44514-3667
(330) 758-0208
(330) 758-2801

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19209
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0411665
OH
Enumeration date
03/20/2007
Last updated
08/22/2020
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