Individual
DR. GREGORY MARK BOOKWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 756-1980
Mailing address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 756-1980
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17577
OH
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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