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12808 Drexmore Rd Cleveland OH 44120-2158 | |
| (216) 921-8888 | |
| (216) 921-8889 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12808 Drexmore Rd, Cleveland, Ohio |
| Authorized Official Name and Position | George Staley (PRESIDENT) |
| Authorized Official Contact | 2169218888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12808 Drexmore Rd Cleveland OH 44120-2158 Ph: (216) 921-8888 | 12808 Drexmore Rd Cleveland OH 44120-2158 Ph: (216) 921-8888 |
| NPI Number | 1265648240 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265648240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13988 (Ohio) | Primary |
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