Mentor Dental Arts Ronald L. Micchia Dds, Inc.

NPI #1578640066 in Mentor, Ohio

Provider Information

NPI Number
1578640066
Entity Type
Organization
Organization Name
Mentor Dental Arts Ronald L. Micchia Dds, Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 1, 2006
Last Updated
Oct 21, 2014

Practice Location

Address
9140 LAKESHORE BLVD
City
Mentor
State
Ohio
ZIP Code
44060
Phone
(440) 257-3900

Authorized Official

Name
RONALD MICCHIA
Title
DENTIST/CEO
Phone
(440) 257-3900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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