# ANEW MEDSPA 2120 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043601271
- **Authorized official:** DR. LOUIS J MALCMACHER DDS (OWNER)
- **Authorized official phone:** (216) 255-5201

## Contact information

- **Practice address:** 2120 S GREEN RD, SOUTH EUCLID, OH 44121-3349
- **Practice address phone:** (216) 255-5201
- **Mailing address:** 2120 S GREEN RD, SOUTH EUCLID, OH 44121-3349
- **Mailing address phone:** (216) 255-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30.016769 | OH | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015