Organization
MARION FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAITH A. SAWALHA D.D.S. (OWNER)
(740) 387-5188
Entity
Organization
Contact information
Practice address
716 S PROSPECT ST, MARION, OH 43302-6278
(740) 382-3464
Mailing address
716 S PROSPECT ST, MARION, OH 43302-6278
(740) 382-3464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2762078
—
OH
Enumeration date
04/29/2008
Last updated
04/29/2008
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