Streem Resnick Tetelman & Young Dds Inc | |
29001 Cedar Road Ste 660 Lyndhurst OH 44124 | |
(440) 461-8200 | |
(440) 461-8343 |
Full Name | Streem Resnick Tetelman & Young Dds Inc |
---|---|
Speciality | Dentist |
Location | 29001 Cedar Road, Lyndhurst, Ohio |
Authorized Official Name and Position | Evan David Tetelman (VICE PRESIDENT TREASURER DENTIST) |
Authorized Official Contact | 4404618200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Streem Resnick Tetelman & Young Dds Inc 29001 Cedar Road Suite 660 Lyndhurst OH 44124 Ph: (440) 461-8200 | Streem Resnick Tetelman & Young Dds Inc 29001 Cedar Road Ste 660 Lyndhurst OH 44124 Ph: (440) 461-8200 |
NPI Number | 1144396169 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 12/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144396169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 16334 (Ohio) | Primary |
122300000X | Dentist | 12987 (Ohio) | Secondary |
122300000X | Dentist | 14141 (Ohio) | Secondary |
122300000X | Dentist | 20794 (Ohio) | Secondary |
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