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Organization

FRANK RADIS, DDS, MS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE HELEN PARISH (FINANCIAL COORDINATOR)
(330) 562-2700
Entity
Organization

Contact information

Practice address
85 N CHILLICOTHE RD, AURORA, OH 44202-8739
(330) 562-2700
(330) 562-0534
Mailing address
85 N CHILLICOTHE RD, AURORA, OH 44202-8739
(330) 562-2700
(330) 562-0534

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
021804
OH
1223P0221X
Pediatric Dentistry
Primary
19192
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2050097
OH
05
2467129
OH
Enumeration date
10/16/2007
Last updated
10/16/2007
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