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NPI Code Detail

MEDICARE: M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC

MEDICARE: M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1548856313
Entity Type Code : Organization
Provider Name (Legal Business Name) : M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC
Provider Business Mailing Address
First Line : PO BOX 822
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-0822
Country : US
Telephone Number : 614-425-9059
Fax Number :
Provider Business Practice Location Address
First Line : 6742 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-1619
Country : US
Telephone Number : 614-935-7677
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARK R. ALEXANDRUNAS
Credential :
Telephone Number : 740-587-4891
Provider Enumeration Date : 12/16/2020
Last Update Date : 12/16/2020

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Directions to “M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC ” Practice Location

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