Greg Benjamin Iaderosa DDS

NPI 1013055516 - Dentist - 122300000X

NPI Details
NPI 1013055516
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 EAST CALIFORNIA AVENUE
SUITE #1
YOUNGSTOWN OH, 44512, US
Phone (330) 758-7540
Fax (330) 758-7599
Business Location
200 EAST CALIFORNIA AVENUE
SUITE #1
YOUNGSTOWN OH, 44512, US
Phone (330) 758-7540
Fax (330) 758-7599
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 19125
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According to our database, Greg Benjamin Iaderosa DDS NPI is 1013055516, taxonomy code is 122300000X and license number is 19125, license state is located at Ohio. Greg Benjamin Iaderosa DDS physically located at 200 East California Avenue, Youngstown OH, 44512. NPI Number Greg Benjamin Iaderosa DDS has the Individual type.

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1013055516 NPI number is provided on an as is basis without warranty of any kind. 1013055516 is maintained by the National Plan & Provider Enumeration System. The contents of Greg Benjamin Iaderosa DDS are for informational purposes only.