Individual
DR. ROBERT J DURICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6205 MARKET ST, YOUNGSTOWN, OH 44512-3330
(330) 726-6205
(330) 726-5885
Mailing address
6205 MARKET ST, YOUNGSTOWN, OH 44512-3330
(330) 726-6205
(330) 726-5885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-7649
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593059
—
OH
Enumeration date
02/13/2006
Last updated
07/09/2007
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