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Organization

CARRATOLA & MERRILL, DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS MICHAEL CARRATOLA D.D.S. (MANAGING MEMBER-DENTIST)
(419) 929-1544
Entity
Organization

Contact information

Practice address
63 E MAIN ST, NEW LONDON, OH 44851-1233
(419) 929-1544
(419) 929-0402
Mailing address
63 E MAIN ST, NEW LONDON, OH 44851-1233
(419) 929-1544
(419) 929-0402

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2743884
OH
Enumeration date
07/05/2007
Last updated
11/20/2007
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