Dental Professionals Cleveland-Nouneh, Inc.

NPI #1548445570 in Mentor, Ohio

Provider Information

NPI Number: 1548445570
Entity Type: Organization
Organization Name: Dental Professionals Cleveland-Nouneh, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS CLEVELAND-LEE, INC.
Primary Specialty: Dentist
Enumeration Date: Jan 9, 2008
Last Updated: May 12, 2009

Practice Location

Address: 9161 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-6403
Phone: (440) 974-9530

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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