Organization
OPTIMA DERMATOLOGY LLC
Active
Other names
Advanced Dermatology and Skin Cancer Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI GRONER (BILLING MANAGER)
(330) 965-8760
Entity
Organization
Contact information
Practice address
1027 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4227
(330) 965-8760
(330) 965-9325
Mailing address
987 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4222
(330) 965-8760
(330) 965-9325
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
35074029
OH
Other
Enumeration date
11/03/2006
Last updated
01/11/2024
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