Elite Dentistry Center Llc | |
24300 Chagrin Blvd Suite 304 Beachwood OH 44122-5639 | |
(216) 464-3200 | |
(216) 464-3201 |
Full Name | Elite Dentistry Center Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 24300 Chagrin Blvd, Beachwood, Ohio |
Authorized Official Name and Position | Bogdan S Butriy (OWNER) |
Authorized Official Contact | 2164643200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Dentistry Center Llc 24300 Chagrin Blvd Suite 304 Beachwood OH 44122-5639 Ph: (216) 464-3200 | Elite Dentistry Center Llc 24300 Chagrin Blvd Suite 304 Beachwood OH 44122-5639 Ph: (216) 464-3200 |
NPI Number | 1700286853 |
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Provider Enumeration Date | 08/26/2014 |
Last Update Date | 08/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700286853 | NPI | - | NPPES |
293757 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 30.022982 (Ohio) | Primary |
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