Individual
DR. MARK A. DUMBAULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
55 W MARTIN ST, EAST PALESTINE, OH 44413-1761
(330) 426-3428
(330) 426-3428
Mailing address
55 W MARTIN ST, P.O. BOX 47, EAST PALESTINE, OH 44413-1761
(330) 426-3428
(330) 426-3428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4276
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0843716
—
OH
Enumeration date
10/14/2005
Last updated
06/26/2008
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