| Cosmetic & Family Dental Studios, Llc | |
|
36 S Byrne Rd Toledo OH 43615-6211 | |
| (419) 534-2479 | |
| (419) 534-3260 |
| Full Name | Cosmetic & Family Dental Studios, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 36 S Byrne Rd, Toledo, Ohio |
| Authorized Official Name and Position | Abraham H Boadi (PRESIDENT & CEO) |
| Authorized Official Contact | 4195342479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic & Family Dental Studios, Llc 36 S Byrne Rd Toledo OH 43615-6211 Ph: (419) 534-2479 | Cosmetic & Family Dental Studios, Llc 36 S Byrne Rd Toledo OH 43615-6211 Ph: (419) 534-2479 |
| NPI Number | 1124090097 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124090097 | NPI | - | NPPES |
| 0719486 | Medicaid | OH | |
| 01541 | Other | OH | PARAMOUNT ADVANTAGE |
| 18842-436156211 | Other | OH | DELTA DENTAL OH/MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18842 (Ohio) | Primary |
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