Provider Demographics
NPI:1811499577
Name:M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC
Entity type:Organization
Organization Name:M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDRUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-935-7677
Mailing Address - Street 1:203 E LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-1465
Mailing Address - Country:US
Mailing Address - Phone:614-935-7677
Mailing Address - Fax:
Practice Address - Street 1:203 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-1465
Practice Address - Country:US
Practice Address - Phone:614-935-7677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty