Organization
MUNSON DENTAL AND FACIAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANIE CAIN NIKODEM DDS (OPERATIONS MANAGER)
(234) 215-2735
Entity
Organization
Contact information
Practice address
4811 MUNSON ST NW, CANTON, OH 44718-3614
(234) 215-2735
Mailing address
4811 MUNSON ST NW, CANTON, OH 44718-3614
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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