Organization
GLENN W. GOIST DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK J DAMICO DDS (PRESIDENT)
(440) 826-4242
Entity
Organization
Contact information
Practice address
633 W BAGLEY RD, BEREA, OH 44017-1356
(440) 826-4242
Mailing address
633 W BAGLEY RD, BEREA, OH 44017-1356
(440) 826-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-8749
OH
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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