| Clark Dental Llc | |
|
3084 W 25th St Cleveland OH 44113-5306 | |
| (216) 409-8451 | |
| Not Available |
| Full Name | Clark Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 3084 W 25th St, Cleveland, Ohio |
| Authorized Official Name and Position | Zamira Jani (DENTIST) |
| Authorized Official Contact | 2164098451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Dental Llc 35800 Ithaca Dr Avon OH 44011-1893 Ph: (216) 409-8451 | Clark Dental Llc 3084 W 25th St Cleveland OH 44113-5306 Ph: (216) 409-8451 |
| NPI Number | 1043627227 |
|---|---|
| Provider Enumeration Date | 07/19/2014 |
| Last Update Date | 07/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043627227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30024023 (Ohio) | Primary |
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