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4163 Pearl Rd Cleveland OH 44109-3332 | |
| (216) 862-4990 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4163 Pearl Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Manal R Sunna (OWNER) |
| Authorized Official Contact | 4404544879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
28651 Touchstone Cir Westlake OH 44145-4879 Ph: () - | 4163 Pearl Rd Cleveland OH 44109-3332 Ph: (216) 862-4990 |
| NPI Number | 1023525920 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 01/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023525920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30023526 (Ohio) | Primary |
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