| Lorain Family Dental | |
|
4560 Oberlin Ave Lorain OH 44053-3195 | |
| (440) 434-2990 | |
| Not Available |
| Full Name | Lorain Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 4560 Oberlin Ave, Lorain, Ohio |
| Authorized Official Name and Position | Daman Simantiris (DENTIST OWNER) |
| Authorized Official Contact | 4404342990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorain Family Dental 4466 Doral Dr Avon OH 44011-3744 Ph: (440) 655-0045 | Lorain Family Dental 4560 Oberlin Ave Lorain OH 44053-3195 Ph: (440) 434-2990 |
| NPI Number | 1386144707 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386144707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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