Dental Professionals Cleveland-Nouneh,inc.

NPI #1730363169 in Elyria, Ohio

Provider Information

NPI Number: 1730363169
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: Dec 20, 2007
Last Updated: May 18, 2009

Practice Location

Address: 667 CHESTNUT COMMONS DRIVE
City: Elyria
State: Ohio
ZIP Code: 44035
Phone: (440) 324-2310

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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