| Lakewood Dental Associates Llc | |
|
15711 Madison Ave Lakewood OH 44107-5655 | |
| (216) 228-7950 | |
| Not Available |
| Full Name | Lakewood Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15711 Madison Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Charlyne Jungermann (PRACTICE MANAGER) |
| Authorized Official Contact | 4408997950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Associates Llc 15711 Madison Ave Ste 104 Lakewood OH 44107-5655 Ph: (216) 228-7950 | Lakewood Dental Associates Llc 15711 Madison Ave Lakewood OH 44107-5655 Ph: (216) 228-7950 |
| NPI Number | 1053968917 |
|---|---|
| Provider Enumeration Date | 08/24/2019 |
| Last Update Date | 08/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053968917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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