| Medina Pediatric Dental Associates | |
|
3443 Medina Rd Suite 104 Medina OH 44256-5360 | |
| (330) 391-1157 | |
| Not Available |
| Full Name | Medina Pediatric Dental Associates |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3443 Medina Rd, Medina, Ohio |
| Authorized Official Name and Position | James Kozik (OWNER) |
| Authorized Official Contact | 3303911157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medina Pediatric Dental Associates 3443 Medina Rd Suite 104 Medina OH 44256-5360 Ph: () - | Medina Pediatric Dental Associates 3443 Medina Rd Suite 104 Medina OH 44256-5360 Ph: (330) 391-1157 |
| NPI Number | 1669702122 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669702122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18125 (Ohio) | Primary |
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