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Individual

DR. NICKLAUS ALTOMARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3195
Mailing address
37921 W MAIN STREET EXT, LEETONIA, OH 44431-9749

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
004465
OH
390200000X
Student in an Organized Health Care Education/Training Program
004465
OH

Other

Enumeration date
05/12/2022
Last updated
06/29/2022
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