Organization
STEPHEN M MUSICK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL MUSICK DDS (PRESIDENT)
(330) 898-1811
Entity
Organization
Contact information
Practice address
2760 PARKMAN RD NW, WARREN, OH 44485
(330) 898-1811
(330) 898-7056
Mailing address
2760 PARKMAN RD NW, WARREN, OH 44485
(330) 898-1811
(330) 898-7056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266975
—
OH
01
—
9179980
DORAL DENTAL UNISON
OH
Enumeration date
10/12/2006
Last updated
08/22/2020
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