| Aico's Dental Group | |
|
28899 Center Ridge Road #300 Westlake OH 44145 | |
| (440) 835-3109 | |
| (440) 835-3180 |
| Full Name | Aico's Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 28899 Center Ridge Road #300, Westlake, Ohio |
| Authorized Official Name and Position | Aico H Watanabe (OWNER) |
| Authorized Official Contact | 4408353109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aico's Dental Group 28899 Center Ridge Road #300 Westlake OH 44145 Ph: (440) 835-3109 | Aico's Dental Group 28899 Center Ridge Road #300 Westlake OH 44145 Ph: (440) 835-3109 |
| NPI Number | 1508047556 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508047556 | NPI | - | NPPES |
| 0935911 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19899 (Ohio) | Primary |
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