Individual
DR. JOHN DAVID FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
829 E ELM ST, LIMA, OH 45804-1413
(419) 225-0080
Mailing address
829 E ELM ST, LIMA, OH 45804-1413
(419) 225-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14939
OH
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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