Dental Professionals Cleveland-Nouneh, INC

NPI #1538344569 in Canton, Ohio

Provider Information

NPI Number: 1538344569
Entity Type: Organization
Organization Name: Dental Professionals Cleveland-Nouneh, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC
Primary Specialty: Dentist
Enumeration Date: Jan 9, 2008
Last Updated: May 13, 2009

Practice Location

Address: 4258 BELDEN VILLAGE MALL
Address 2: SPACE FC-17
City: Canton
State: Ohio
ZIP Code: 44718-2504
Phone: (330) 492-4250

Authorized Official

Name: DIANE L ULICHNEY
Title: CREDENTIALING MANAGER
Phone: (440) 345-9068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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