Kenmore Family Dental | |
916 Kenmore Blvd Akron OH 44314-2113 | |
(330) 753-8155 | |
Not Available |
Full Name | Kenmore Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 916 Kenmore Blvd, Akron, Ohio |
Authorized Official Name and Position | David Riaffe (OWNER) |
Authorized Official Contact | 3307538155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenmore Family Dental 916 Kenmore Blvd Akron OH 44314-2113 Ph: (330) 753-8155 | Kenmore Family Dental 916 Kenmore Blvd Akron OH 44314-2113 Ph: (330) 753-8155 |
NPI Number | 1811273238 |
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Provider Enumeration Date | 10/31/2011 |
Last Update Date | 10/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811273238 | NPI | - | NPPES |
0963631 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019625 (Ohio) | Primary |
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