Dental Professionals Cleveland-Lee,inc.

NPI #1184896433 in Elyria, Ohio

Provider Information

NPI Number: 1184896433
Entity Type: Organization
Organization Name: Dental Professionals Cleveland-Lee,inc.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS CLEVELAND-LL,INC.
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 435 GRISWOLD RD
City: Elyria
State: Ohio
ZIP Code: 44035-2304
Phone: (440) 324-2310

Authorized Official

Name: DIANE ULICHNEY
Title: CREDENTIALING MANAGER
Phone: (440) 324-2310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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