| Lakewood City Center Dental Llc | |
|
14865 Detroit Ave Lakewood OH 44107-3909 | |
| (216) 228-7950 | |
| Not Available |
| Full Name | Lakewood City Center Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14865 Detroit Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Charlyne Jungermann (PRACTICE MANAGER) |
| Authorized Official Contact | 4408233175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood City Center Dental Llc 14865 Detroit Ave Lakewood OH 44107-3909 Ph: (216) 228-7950 | Lakewood City Center Dental Llc 14865 Detroit Ave Lakewood OH 44107-3909 Ph: (216) 228-7950 |
| NPI Number | 1710504592 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710504592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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