| Apollo General Dentistry Llc | |
|
5253 Wallings Rd North Royalton OH 44133-3135 | |
| (440) 582-2122 | |
| Not Available |
| Full Name | Apollo General Dentistry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5253 Wallings Rd, North Royalton, Ohio |
| Authorized Official Name and Position | Diana Alexandra Talpos (MANAGER) |
| Authorized Official Contact | 4405822122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo General Dentistry Llc 5253 Wallings Rd North Royalton OH 44133-3135 Ph: (440) 582-2122 | Apollo General Dentistry Llc 5253 Wallings Rd North Royalton OH 44133-3135 Ph: (440) 582-2122 |
| NPI Number | 1467279307 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 7214461359 |
|---|---|
| Medicare Enrollment ID | O20241112000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467279307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Rana Ibrahim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710575246 PECOS PAC ID: 8123552262 Enrollment ID: I20241118000747 |
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