Individual
DR. LOUIS MICHAEL CARRATOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63 E MAIN ST, NEW LONDON, OH 44851-1233
(419) 929-1544
(419) 929-0402
Mailing address
1704 BERLIN ST, MILAN, OH 44846-9521
(419) 499-2472
(419) 499-8126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30017312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525079
—
OH
01
—
260370149027
CARESOURCE
OH
Enumeration date
08/01/2006
Last updated
10/08/2010
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