Great Lake Dental Arts

NPI #1497147219 in Mentor, Ohio

Provider Information

NPI Number: 1497147219
Entity Type: Organization
Organization Name: Great Lake Dental Arts
Primary Specialty: Dentist
Enumeration Date: Mar 3, 2015
Last Updated: Mar 3, 2015

Practice Location

Address: 8435 STATION ST
City: Mentor
State: Ohio
ZIP Code: 44060-4924
Phone: (440) 255-3111

Authorized Official

Name: DR. RONALD WILLIAM BEECH, D.D.S.
Title: OWNER/DENTIST
Phone: (440) 255-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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