| Kirlough Family Dentistry, Llc | |
|
18660 Bagley Rd Bldg I, Ste 304 Cleveland OH 44130-3483 | |
| (440) 234-2445 | |
| (440) 234-2407 |
| Full Name | Kirlough Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18660 Bagley Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Jon P. Kirlough (OWNER) |
| Authorized Official Contact | 4402342445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirlough Family Dentistry, Llc 18660 Bagley Rd Bldg I, Ste 304 Cleveland OH 44130-3483 Ph: (440) 234-2445 | Kirlough Family Dentistry, Llc 18660 Bagley Rd Bldg I, Ste 304 Cleveland OH 44130-3483 Ph: (440) 234-2445 |
| NPI Number | 1649491929 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649491929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-02-1224 (Ohio) | Primary |
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