Individual
DR. JAN M. BOHONEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11351 PEARL RD, SUITE 302, STRONGSVILLE, OH 44136-3331
(440) 846-8833
(440) 846-8920
Mailing address
11351 PEARL RD, SUITE 302, STRONGSVILLE, OH 44136-3331
(440) 846-8833
(440) 846-8920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.018311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OHIO 18311
OHIO (SHORT VERSION OF OHIO DENTAL LICENSE NUMBER)
OH
Enumeration date
09/01/2009
Last updated
09/01/2009
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