Organization
OPTIMA DERMATOLOGY LLC
Active
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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