| Granville Dental Mark Alexandrunas Dmd Inc | |
|
121 Broadway E Granville OH 43023-1303 | |
| (740) 587-4891 | |
| Not Available |
| Full Name | Granville Dental Mark Alexandrunas Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Broadway E, Granville, Ohio |
| Authorized Official Name and Position | Mark Richard Alexandrunas (OWER) |
| Authorized Official Contact | 6144259061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Dental Mark Alexandrunas Dmd Inc Po Box 286 Granville OH 43023-0286 Ph: (740) 587-4891 | Granville Dental Mark Alexandrunas Dmd Inc 121 Broadway E Granville OH 43023-1303 Ph: (740) 587-4891 |
| NPI Number | 1912180571 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912180571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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