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3447 W 117th St Cleveland OH 44111-3520 | |
| (216) 251-8812 | |
| (216) 252-2448 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3447 W 117th St, Cleveland, Ohio |
| Authorized Official Name and Position | Susan G Hylan (OFFICE MANAGER) |
| Authorized Official Contact | 2162518812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3447 W 117th St Cleveland OH 44111-3520 Ph: (216) 251-8812 | 3447 W 117th St Cleveland OH 44111-3520 Ph: (216) 251-8812 |
| NPI Number | 1477617082 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 12/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477617082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16257 (Ohio) | Primary |
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