| Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd Llc | |
|
19111 Detroit Rd Ste 204 Rocky River OH 44116-1740 | |
| (440) 356-1000 | |
| (440) 356-2090 |
| Full Name | Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19111 Detroit Rd Ste 204, Rocky River, Ohio |
| Authorized Official Name and Position | Tina Chase (INSURANCE SPECIALIST) |
| Authorized Official Contact | 4403562089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd Llc 19111 Detroit Rd Ste 206 Rocky River OH 44116-1740 Ph: (440) 356-1000 | Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd Llc 19111 Detroit Rd Ste 204 Rocky River OH 44116-1740 Ph: (440) 356-1000 |
| NPI Number | 1538772405 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538772405 | NPI | - | NPPES |
| 0402338 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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