| Chagrin Highlands Dental Group, Douglas E. Desatnik, D.d.s., Llc | |
|
22901 Millcreek Blvd Suite #140 Beachwood OH 44122-5728 | |
| (216) 464-9800 | |
| (216) 464-9833 |
| Full Name | Chagrin Highlands Dental Group, Douglas E. Desatnik, D.d.s., Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22901 Millcreek Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Douglas Desatnik (PRESIDENT) |
| Authorized Official Contact | 2164649800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chagrin Highlands Dental Group, Douglas E. Desatnik, D.d.s., Llc 22901 Millcreek Blvd Suite #140 Beachwood OH 44122-5728 Ph: (216) 464-9800 | Chagrin Highlands Dental Group, Douglas E. Desatnik, D.d.s., Llc 22901 Millcreek Blvd Suite #140 Beachwood OH 44122-5728 Ph: (216) 464-9800 |
| NPI Number | 1144687880 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144687880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30023233 (Ohio) | Primary |
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