Mogadore Family Dentistry

NPI #1972624922 in Mogadore, Ohio

Provider Information

NPI Number: 1972624922
Entity Type: Organization
Organization Name: Mogadore Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Apr 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 11 S CLEVELAND AVE
City: Mogadore
State: Ohio
ZIP Code: 44260-1514
Phone: (330) 628-3017

Authorized Official

Name: LOUIS W KONSTAN, D.D.S.
Title: DENTIST
Phone: (330) 628-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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