Mentor Dental Arts Ronald L. Micchia Dds, Inc. | |
9140 Lakeshore Blvd Mentor OH 44060 | |
(440) 257-3900 | |
(440) 257-7070 |
Full Name | Mentor Dental Arts Ronald L. Micchia Dds, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 9140 Lakeshore Blvd, Mentor, Ohio |
Authorized Official Name and Position | Ronald Micchia (DENTIST/CEO) |
Authorized Official Contact | 4402573900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mentor Dental Arts Ronald L. Micchia Dds, Inc. 9140 Lakeshore Blvd Mentor OH 44060 Ph: (440) 257-3900 | Mentor Dental Arts Ronald L. Micchia Dds, Inc. 9140 Lakeshore Blvd Mentor OH 44060 Ph: (440) 257-3900 |
NPI Number | 1578640066 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 10/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578640066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 15919 (Ohio) | Primary |
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