| Richard C. Flores, Dds, Llc | |
|
34940 Ridge Rd Willoughby OH 44094-4196 | |
| (440) 975-5774 | |
| Not Available |
| Full Name | Richard C. Flores, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34940 Ridge Rd, Willoughby, Ohio |
| Authorized Official Name and Position | Richard Flores (OWNER) |
| Authorized Official Contact | 4406650245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C. Flores, Dds, Llc 2000 King James Pkwy Apt 143 Westlake OH 44145-3477 Ph: () - | Richard C. Flores, Dds, Llc 34940 Ridge Rd Willoughby OH 44094-4196 Ph: (440) 975-5774 |
| NPI Number | 1992218671 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992218671 | NPI | - | NPPES |
| 1306281191 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30.023927 (Ohio) | Primary |
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