Individual
DR. GARY LOUIS BOANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
653 FIFTH STREET, SUITE 2, STRUTHERS, OH 44471
(330) 755-9074
(330) 755-9074
Mailing address
653 FIFTH STREET, SUITE 2, STRUTHERS, OH 44471
(330) 755-9074
(330) 755-9074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18898
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0726432
—
OH
Enumeration date
12/05/2006
Last updated
07/08/2007
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