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2500 Clark Ave Cleveland OH 44109-1111 | |
| (216) 860-1195 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2500 Clark Ave, Cleveland, Ohio |
| Authorized Official Name and Position | George Kontoveros (OWNER) |
| Authorized Official Contact | 2162731413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2500 Clark Ave Cleveland OH 44109-1111 Ph: () - | 2500 Clark Ave Cleveland OH 44109-1111 Ph: (216) 860-1195 |
| NPI Number | 1770178956 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770178956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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