| Mark a Straka DDS Inc | |
|
3545 Olentangy River Rd Suite 125 Columbus OH 43214-3907 | |
| (614) 267-0385 | |
| Not Available |
| Full Name | Mark a Straka DDS Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3545 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Mark a Straka (OWNER) |
| Authorized Official Contact | 6142670385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark a Straka DDS Inc 3545 Olentangy River Rd Suite 125 Columbus OH 43214-3907 | Mark a Straka DDS Inc 3545 Olentangy River Rd Suite 125 Columbus OH 43214-3907 Ph: (614) 267-0385 |
| NPI Number | 1578833174 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578833174 | NPI | - | NPPES |
| 0391179 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | () | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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