| Westside Dental Sleep Center Llc | |
|
18611 Detroit Ave Lakewood OH 44107-3205 | |
| (216) 221-2210 | |
| Not Available |
| Full Name | Westside Dental Sleep Center Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 18611 Detroit Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Michael S Pap (PRESIDENT) |
| Authorized Official Contact | 2162212210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Dental Sleep Center Llc 30701 Lorain Rd Ste A North Olmsted OH 44070-6325 Ph: (440) 274-5000 | Westside Dental Sleep Center Llc 18611 Detroit Ave Lakewood OH 44107-3205 Ph: (216) 221-2210 |
| NPI Number | 1063023430 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063023430 | NPI | - | NPPES |
| 4508862 | Other | OH | OHIO BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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