Dental Professionals Cleveland-Nouneh, Inc.

NPI #1962687616 in Sandusky, Ohio

Provider Information

NPI Number
1962687616
Entity Type
Organization
Organization Name
Dental Professionals Cleveland-Nouneh, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONAL CLEVELAND-NOUNEH, INC.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 31, 2007
Last Updated
May 13, 2009

Practice Location

Address
1313 W BOGART RD
State
Ohio
ZIP Code
44870-5704
Phone
(419) 627-1255

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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