NPI Search for Physicians and Health Care Providers
PATRICIA J MANZO-CRADDOCK D.D.S.
>> Dentist >> Dental ProvidersRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
Y | 122300000X | Dental Providers Dentist
| OH | 18595 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS OH - Page 1