Individual
JAMES R MALE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 GRANVILLE ST, GAHANNA, OH 43230-3003
(614) 471-3020
(614) 428-9391
Mailing address
55 GRANVILLE ST, GAHANNA, OH 43230-3003
(614) 471-3020
(614) 428-9391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30017379
OH
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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