Lorain Family Dental

NPI #1386144707 in Lorain, Ohio

Provider Information

NPI Number: 1386144707
Entity Type: Organization
Organization Name: Lorain Family Dental
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2018
Last Updated: Feb 13, 2018

Practice Location

Address: 4560 OBERLIN AVE
City: Lorain
State: Ohio
ZIP Code: 44053-3195
Phone: (440) 434-2990

Authorized Official

Name: DR. DAMAN SIMANTIRIS, DMD
Title: DENTIST OWNER
Phone: (440) 434-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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