Individual
DOMINIC GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
231 BLUEBELL DR SW, NEW PHILADELPHIA, OH 44663-9601
(330) 339-6016
Mailing address
2185 PINE ST SE, EAST SPARTA, OH 44626-9571
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017666-S
OH
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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