| Craniofacial Imaging Center | |
|
10900 Euclid Ave Case School Of Dental Medicine - 3rd Floor Cleveland OH 44106-1712 | |
| (216) 368-2674 | |
| (216) 368-3204 |
| Full Name | Craniofacial Imaging Center |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10900 Euclid Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Mark G Hans (CHAIRMAN) |
| Authorized Official Contact | 2163684649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craniofacial Imaging Center 10900 Euclid Ave Case School Of Dental Medicine - 3rd Floor Cleveland OH 44106-1712 Ph: (216) 368-2674 | Craniofacial Imaging Center 10900 Euclid Ave Case School Of Dental Medicine - 3rd Floor Cleveland OH 44106-1712 Ph: (216) 368-2674 |
| NPI Number | 1841372935 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841372935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 16067 (Ohio) | Primary |
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