Organization
MOGADORE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS W KONSTAN D.D.S. (DENTIST)
(330) 628-3017
Entity
Organization
Contact information
Practice address
11 S CLEVELAND AVE, MOGADORE, OH 44260-1514
(330) 628-3017
(330) 628-1436
Mailing address
11 S CLEVELAND AVE, MOGADORE, OH 44260-1514
(330) 628-3017
(330) 628-1436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.018523
OH
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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