Spa Creek Dental of Oh LLC

NPI #1639844939 in Austintown, Ohio

Provider Information

NPI Number: 1639844939
Entity Type: Organization
Organization Name: Spa Creek Dental of Oh LLC
Primary Specialty: Dentist
Enumeration Date: Aug 10, 2021
Last Updated: Aug 11, 2021

Practice Location

Address: 5547 MAHONING AVE
City: Austintown
State: Ohio
ZIP Code: 44515-2316
Phone: (267) 691-2800

Authorized Official

Name: AMBER LLOYD
Title: ACCOUNTS RECEIVABLE SPECIALIST
Phone: (267) 691-2812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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