| Marion L. Wazney D.d.s. Inc. | |
|
29001 Cedar Rd Suite 680 Lyndhurst OH 44124-4062 | |
| (440) 461-1157 | |
| (440) 461-1159 |
| Full Name | Marion L. Wazney D.d.s. Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 29001 Cedar Rd, Lyndhurst, Ohio |
| Authorized Official Name and Position | Marion L. Oster (OWNER) |
| Authorized Official Contact | 4404611157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion L. Wazney D.d.s. Inc. 29001 Cedar Rd Suite 680 Lyndhurst OH 44124-4062 Ph: (440) 461-1157 | Marion L. Wazney D.d.s. Inc. 29001 Cedar Rd Suite 680 Lyndhurst OH 44124-4062 Ph: (440) 461-1157 |
| NPI Number | 1760687206 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760687206 | NPI | - | NPPES |
| 0485596 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16807 (Ohio) | Primary |
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