University Suburban Dental Group, INC

NPI #1326019233 in Cleveland, Ohio

Provider Information

NPI Number
1326019233
Entity Type
Organization
Organization Name
University Suburban Dental Group, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 30, 2006
Last Updated
Jul 10, 2009

Practice Location

Address
1611 S GREEN RD
Address 2
SUITE 157
State
Ohio
ZIP Code
44121-4128
Phone
(216) 381-6521

Authorized Official

Name
MS. LAURA JEAN KENNEDY
Title
PRACTICE ADMINISTRATOR
Phone
(216) 381-6521

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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