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Great Lakes Dentalof Westlake LLC

NPI #1316253149 in Westlake, Ohio

Provider Information

NPI Number
1316253149
Entity Type
Organization
Organization Name
Great Lakes Dentalof Westlake LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 31, 2010
Last Updated
Jul 28, 2021

Practice Location

Address
25101 DETROIT RD
Address 2
SUITE 445
City
Westlake
State
Ohio
ZIP Code
44145-2552
Phone
(440) 617-9429

Authorized Official

Name
STAFANI SANDOVAL
Title
INSURANCE SPECIALIST
Phone
(440) 356-2089

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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