| Westlake Family Dental Care | |
|
2255 Columbia Rd Westlake OH 44145-4102 | |
| (440) 835-0011 | |
| (440) 250-1896 |
| Full Name | Westlake Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2255 Columbia Rd, Westlake, Ohio |
| Authorized Official Name and Position | Jennifer Psota Dougherty (SOLE MBR) |
| Authorized Official Contact | 4408350011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Family Dental Care 2255 Columbia Rd Westlake OH 44145-4102 Ph: (440) 835-0011 | Westlake Family Dental Care 2255 Columbia Rd Westlake OH 44145-4102 Ph: (440) 835-0011 |
| NPI Number | 1407159320 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407159320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21039 (Ohio) | Primary |
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