Western Reserve Center for Orofacial and Cosmetic Surgery

NPI #1427383272 in Lakewood, Ohio

Provider Information

NPI Number
1427383272
Entity Type
Organization
Organization Name
Western Reserve Center for Orofacial and Cosmetic Surgery
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Oct 13, 2009
Last Updated
Oct 13, 2009

Practice Location

Address
14700 DETROIT AVE
State
Ohio
ZIP Code
44107-4116
Phone
(216) 227-3333

Authorized Official

Name
DR. NICHOLAS C DIAMANTIS, MD
Title
OWNER
Phone
(216) 227-3333

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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