| Granville Dental - M.alexandrunas, D.m.d., Inc. | |
|
4104 Broadway Ste D Grove City OH 43123-3065 | |
| (614) 871-0088 | |
| Not Available |
| Full Name | Granville Dental - M.alexandrunas, D.m.d., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4104 Broadway Ste D, Grove City, Ohio |
| Authorized Official Name and Position | Mark R. Alexandrunas (OWNER) |
| Authorized Official Contact | 7405874891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Dental - M.alexandrunas, D.m.d., Inc. 4104 Broadway Ste D Grove City OH 43123-3065 Ph: () - | Granville Dental - M.alexandrunas, D.m.d., Inc. 4104 Broadway Ste D Grove City OH 43123-3065 Ph: (614) 871-0088 |
| NPI Number | 1073105623 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073105623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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