Individual
MARK S FLORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34696 VINE STREET, EASTLAKE, OH 44095
(440) 953-9111
(440) 953-9113
Mailing address
34696 VINE STREET, EASTLAKE, OH 44095
(440) 953-9111
(440) 953-9113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0862179
—
OH
Enumeration date
04/04/2006
Last updated
07/08/2007
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