| Kenmore Family Dental | |
|
916 Kenmore Blvd Akron OH 44314-2113 | |
| (330) 753-8155 | |
| Not Available |
| Full Name | Kenmore Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 916 Kenmore Blvd, Akron, Ohio |
| Authorized Official Name and Position | David Riaffe (OWNER) |
| Authorized Official Contact | 3307538155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenmore Family Dental 916 Kenmore Blvd Akron OH 44314-2113 Ph: (330) 753-8155 | Kenmore Family Dental 916 Kenmore Blvd Akron OH 44314-2113 Ph: (330) 753-8155 |
| NPI Number | 1811273238 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811273238 | NPI | - | NPPES |
| 0963631 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019625 (Ohio) | Primary |
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