Individual
CHARLES MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3448 NAVARRE AVE, SUITE 102, OREGON, OH 43616-3448
(419) 693-0569
(419) 693-0165
Mailing address
3448 NAVARRE AVE, SUITE 102, OREGON, OH 43616-3448
(419) 693-0569
(419) 693-0165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16946
OH
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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