NPI 1013055516

Greg Benjamin Iaderosa, DDS

Practitioner Dentist Youngstown, OH

Practice location

Address: 200 East California Avenue Suite #1, Youngstown, OH 44512
Phone: (330) 758-7540
Fax: (330) 758-7599

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 19125 (OH)

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Registry record

NPI: 1013055516
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.