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Dr. Mark Mina Goergy, DMD

Dentist in Cleveland Heights, OH. Individual provider (NPI-1).

NPI number1053978221
StatusActive
Last updated in NPPESDec 12, 2019

Details

NPI
1053978221
Entity type
Individual (NPI-1)
Name
Dr. Mark Mina Goergy
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 23, 2019
Certification date
Dec 12, 2019
Last updated
Dec 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist30.025815OHYes

Practice location

2460 Fairmount Blvd Ste 218
Cleveland Heights, OH 44106-3125

Phone 216-791-5191

Mailing address

2460 Fairmount Blvd Ste 218
Cleveland Heights, OH 44106-3125

Phone 216-791-5191

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