Lake County Dental

NPI #1396292405 in Mentor, Ohio

Provider Information

NPI Number: 1396292405
Entity Type: Organization
Organization Name: Lake County Dental
Primary Specialty: Dentist
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 9500 MENTOR AVE STE 280
City: Mentor
State: Ohio
ZIP Code: 44060-8715
Phone: (440) 352-2887

Authorized Official

Name: DR. JEFFREY ROSENTHAL, DDS
Title: DENTIST
Phone: (440) 352-2887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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