Iati, Mark A

Iati, Mark A is an individual health care provider with primary practice located at 3506 Darrow Rd , Stow OH 44224-4009. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Iati, Mark A can be contacted via phone (330) 688-6456.

Contact Information

Primary practice address
3506 Darrow Rd Stow OH 44224-4009
Fax: (330) 688-4178
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18735 Ohio

Profile Details

NPI number 1538186986
LBN Legal business name Iati, Mark A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538186986 NPPES
Ohio Other 18735 LICENSE NUMBER

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