Organization
CANDM CONSULTING LLC
Active
Other names
Ohio Pediatric Dental Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOIRA GIOITTA-TUCKER MD (PHYSICIAN/EMPLOYEE)
(330) 598-1556
Entity
Organization
Contact information
Practice address
4100 DERRWOOD DR, AKRON, OH 44333-1134
(330) 598-1556
(330) 294-4331
Mailing address
4100 DERRWOOD DR, AKRON, OH 44333-1134
(330) 598-1556
(330) 294-4331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.075780
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.075780
OH
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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