Cle Oms Lakewood/rocky River - Jeffrey W. Kosman DDS Inc.

NPI #1083153985 in Lakewood, Ohio

Provider Information

NPI Number: 1083153985
Entity Type: Organization
Organization Name: Cle Oms Lakewood/rocky River - Jeffrey W. Kosman DDS Inc.
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 15711 MADISON AVE
Address 2: SUITE 104
City: Lakewood
State: Ohio
ZIP Code: 44107-5655
Phone: (216) 228-9000

Authorized Official

Name: DR. JEFFREY W. KOSMAN, DDS
Title: OWNER
Phone: (440) 934-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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