Individual
DR. FRANK PETRAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11695 MARKET STREET, NORTH LIMA, OH 44452
(330) 549-2800
(330) 549-2660
Mailing address
PO BOX 304, 11695 MARKET STREET, NORTH LIMA, OH 44452
(330) 549-2800
(330) 549-2660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20416
OH
122300000X
Dentist
Primary
20466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188010
—
OH
Enumeration date
07/24/2006
Last updated
03/22/2011
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