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26300 Euclid Ave Suite 610 Euclid OH 44132-3708 | |
| (216) 916-7772 | |
| (216) 691-9949 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 26300 Euclid Ave, Euclid, Ohio |
| Authorized Official Name and Position | Dale A Kates (OWNER) |
| Authorized Official Contact | 2169167772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
29100 Lake Shore Blvd Willowick OH 44095-4659 Ph: (216) 916-7772 | 26300 Euclid Ave Suite 610 Euclid OH 44132-3708 Ph: (216) 916-7772 |
| NPI Number | 1710373998 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710373998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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