Individual
DR. DAVID E CHLYSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6693 N CHESTNUT STREET, SUITE 131-A, RAVENNA, OH 44266-3922
(330) 296-3975
(330) 296-0990
Mailing address
6693 N CHESTNUT ST, SUITE 131-A, RAVENNA, OH 44266-3922
(330) 296-3975
(330) 296-0990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15733
OH
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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