DR. Charles Edward Mardis, D.D.S

NPI #1235424227 in Fairlawn, Ohio

Provider Information

NPI Number: 1235424227
Entity Type: Individual
Name: DR. Charles Edward Mardis, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 55 S MILLER RD
Address 2: SUITE 104
City: Fairlawn
State: Ohio
ZIP Code: 44333-4166
Phone: (330) 836-7991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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