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PATRICIA J MANZO-CRADDOCK D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1861605875

Individual Registrant:
 PATRICIA J MANZO-CRADDOCK D.D.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
10816 KINSMAN RD.  NEWBURY, OH 44065 US
Tel: 440-564-5387  Fax: --

Contact information for business:
10816 KINSMAN RD. P.O. BOX 342 NEWBURY, OH 44065 US
Tel: 440-564-5387  Fax: 440-564-5419

Registration Information:
NPI: 1861605875
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
OH18595

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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