Individual
DR. CAROL A. TEREBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2900 ELM RD NE, WARREN, OH 44483-2606
(330) 372-1236
Mailing address
230 FOX RUN, CORTLAND, OH 44410-1171
(330) 637-7670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000088745
—
OH
05
—
0204764
—
OH
05
—
341871974026
—
OH
Enumeration date
01/26/2007
Last updated
07/09/2007
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