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Organization
LAKEWOOD DENTAL ASSOCIATES LLC
Active
Organization
LAKEWOOD DENTAL ASSOCIATES LLC
Active
Other names
Lakewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNE JUNGERMANN (PRACTICE MANAGER)
(440) 899-7950
Entity
Organization
Contact information
Practice address
15711 MADISON AVE, LAKEWOOD, OH 44107-5655
(216) 228-7950
Mailing address
15711 MADISON AVE STE 104, LAKEWOOD, OH 44107-5655
(216) 228-7950
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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