| Choffin Dental Assiting School | |
|
200 E Wood St Youngstown OH 44503-1628 | |
| (330) 744-8749 | |
| Not Available |
| Full Name | Choffin Dental Assiting School |
|---|---|
| Speciality | Dentist |
| Location | 200 E Wood St, Youngstown, Ohio |
| Authorized Official Name and Position | Paula Jean Oliver (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3307448749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choffin Dental Assiting School 200 E Wood St Youngstown OH 44503-1628 Ph: (330) 744-8749 | Choffin Dental Assiting School 200 E Wood St Youngstown OH 44503-1628 Ph: (330) 744-8749 |
| NPI Number | 1720233000 |
|---|---|
| Provider Enumeration Date | 11/30/2008 |
| Last Update Date | 11/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720233000 | NPI | - | NPPES |
| 2547873 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30014994 (Ohio) | Primary |
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