| Leah C. Divito, Dds, Llc | |
|
5655 Hudson Dr Ste 100 Hudson OH 44236-4454 | |
| (234) 269-5288 | |
| (234) 269-5289 |
| Full Name | Leah C. Divito, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5655 Hudson Dr Ste 100, Hudson, Ohio |
| Authorized Official Name and Position | Leah Cheyann Divito (OWNER/DENTIST) |
| Authorized Official Contact | 2342695288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah C. Divito, Dds, Llc 5655 Hudson Dr Ste 100 Hudson OH 44236-4454 Ph: () - | Leah C. Divito, Dds, Llc 5655 Hudson Dr Ste 100 Hudson OH 44236-4454 Ph: (234) 269-5288 |
| NPI Number | 1275277170 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275277170 | NPI | - | NPPES |
| 1699056325 | Other | OH | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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