| Domenic Dinello Dmd, Inc. | |
|
40 E Park Ave Niles OH 44446-5018 | |
| (330) 652-9845 | |
| (330) 652-2284 |
| Full Name | Domenic Dinello Dmd, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 40 E Park Ave, Niles, Ohio |
| Authorized Official Name and Position | Domenic Dinello (PRESIDENT) |
| Authorized Official Contact | 3306529845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domenic Dinello Dmd, Inc. 40 E Park Ave Niles OH 44446-5018 Ph: (330) 652-9845 | Domenic Dinello Dmd, Inc. 40 E Park Ave Niles OH 44446-5018 Ph: (330) 652-9845 |
| NPI Number | 1982876660 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982876660 | NPI | - | NPPES |
| 2010648 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30020615 (Ohio) | Primary |
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