Individual
DR. DONALD CHARLES THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34586 LAKESHORE BLVD., EASTLAKE, OH 44095
(440) 946-7878
(440) 946-7878
Mailing address
7750 BRAYTON TRL, CHAGRIN FALLS, OH 44023-6300
(440) 543-2661
(440) 543-2661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30017119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546798
—
OH
Enumeration date
10/27/2006
Last updated
07/08/2007
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