Individual
DR. MICHAEL DANIEL SHRALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
722 CORYLUS DR, PATASKALA, OH 43062-7625
(740) 964-5138
Mailing address
722 CORYLUS DR, PATASKALA, OH 43062-7625
(740) 964-5138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022386
OH
Other
Enumeration date
07/28/2006
Last updated
02/02/2015
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