| Dental Professionals Cleveland-nouneh, Inc. | |
|
25102 Brookpark Rd North Olmsted OH 44070-6414 | |
| (440) 471-6133 | |
| Not Available |
| Full Name | Dental Professionals Cleveland-nouneh, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25102 Brookpark Rd, North Olmsted, Ohio |
| Authorized Official Name and Position | Diane Lynn Ulichney (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4403459068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Cleveland-nouneh, Inc. 6315 Pearl Rd Parma Heights OH 44130-3042 Ph: (440) 345-9068 | Dental Professionals Cleveland-nouneh, Inc. 25102 Brookpark Rd North Olmsted OH 44070-6414 Ph: (440) 471-6133 |
| NPI Number | 1285933788 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285933788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20396 (Ohio) | Primary |
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