Individual
DR. PETER M MARAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 PEARL RD, BRUNSWICK, OH 44212-1118
(330) 273-4867
(330) 273-4868
Mailing address
206 PEARL RD, BRUNSWICK, OH 44212-1118
(330) 273-4867
(330) 273-4868
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20579
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20579
LICENSE NUMBER
OH
Enumeration date
07/16/2006
Last updated
08/12/2008
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