| Mark A. Domo, D.d.s., Inc. | |
|
5533 Mayfield Rd. Lyndhurst OH 44124 | |
| (440) 442-6666 | |
| (440) 442-6667 |
| Full Name | Mark A. Domo, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5533 Mayfield Rd., Lyndhurst, Ohio |
| Authorized Official Name and Position | Mark A Domo (PRESIDENT) |
| Authorized Official Contact | 4404426666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Domo, D.d.s., Inc. 5533 Mayfield Rd. Lyndhurst OH 44124 Ph: (440) 442-6666 | Mark A. Domo, D.d.s., Inc. 5533 Mayfield Rd. Lyndhurst OH 44124 Ph: (440) 442-6666 |
| NPI Number | 1750595732 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750595732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18088 (Ohio) | Primary |
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