| Cleveland Center For Family Dentistry Inc | |
|
28001 Chagrin Blvd Ste 203 Cleveland OH 44122-4543 | |
| (216) 831-6822 | |
| (216) 831-0910 |
| Full Name | Cleveland Center For Family Dentistry Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28001 Chagrin Blvd Ste 203, Cleveland, Ohio |
| Authorized Official Name and Position | Natalie Farber (OWNER) |
| Authorized Official Contact | 2168316822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Center For Family Dentistry Inc 28001 Chagrin Blvd Ste 203 Cleveland OH 44122-4543 Ph: (216) 831-6822 | Cleveland Center For Family Dentistry Inc 28001 Chagrin Blvd Ste 203 Cleveland OH 44122-4543 Ph: (216) 831-6822 |
| NPI Number | 1609192848 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609192848 | NPI | - | NPPES |
| 2541600 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30-020653 (Ohio) | Primary |
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