Individual
CHARISSA KATZAN MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36855 AMERICAN WAY STE C, AVON, OH 44011-4059
(440) 934-0149
(440) 934-3990
Mailing address
36855 AMERICAN WAY STE C, AVON, OH 44011-4059
(440) 934-0149
(440) 934-3990
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-020521
OH
Other
Enumeration date
01/29/2008
Last updated
06/12/2008
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