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26250 Euclid Ave Ste 203 Euclid OH 44132-3691 | |
| (216) 938-8501 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 26250 Euclid Ave Ste 203, Euclid, Ohio |
| Authorized Official Name and Position | Kari A Cunningham (OWNER) |
| Authorized Official Contact | 2169388501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
26250 Euclid Ave Ste 203 Euclid OH 44132-3691 Ph: (216) 938-8501 | 26250 Euclid Ave Ste 203 Euclid OH 44132-3691 Ph: (216) 938-8501 |
| NPI Number | 1245717420 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245717420 | NPI | - | NPPES |
| 0070837 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30.023203 (Ohio) | Primary |
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