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Organization

MARK A STRAKA DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A STRAKA DDS (OWNER)
(614) 267-0385
Entity
Organization

Contact information

Practice address
3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3907
(614) 267-0385
Mailing address
3545 OLENTANGY RIVER RD, SUITE 125, COLUMBUS, OH 43214-3907

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0391179
OH
Enumeration date
01/12/2012
Last updated
01/12/2012
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