Organization
CHOFFIN DENTAL ASSITING SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA JEAN OLIVER CDA, CDPMA, CODA (PROGRAM DIRECTOR)
(330) 744-8749
Entity
Organization
Contact information
Practice address
200 E WOOD ST, YOUNGSTOWN, OH 44503-1628
(330) 744-8749
Mailing address
200 E WOOD ST, YOUNGSTOWN, OH 44503-1628
(330) 744-8749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30014994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2547873
—
OH
Enumeration date
11/30/2008
Last updated
11/30/2008
Update your record
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