Lakewood City Center Dental Llc | |
14865 Detroit Ave Lakewood OH 44107-3909 | |
(216) 228-7950 | |
Not Available |
Full Name | Lakewood City Center Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 14865 Detroit Ave, Lakewood, Ohio |
Authorized Official Name and Position | Charlyne Jungermann (PRACTICE MANAGER) |
Authorized Official Contact | 4408233175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood City Center Dental Llc 14865 Detroit Ave Lakewood OH 44107-3909 Ph: (216) 228-7950 | Lakewood City Center Dental Llc 14865 Detroit Ave Lakewood OH 44107-3909 Ph: (216) 228-7950 |
NPI Number | 1710504592 |
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Provider Enumeration Date | 06/29/2020 |
Last Update Date | 06/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710504592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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