# CHAGRIN FALLS DENTAL BRESCIANI LLC

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

## Provider details

- **NPI number:** 1063282432
- **Authorized official:** DR. JACOB BRESCIANI DDS (OWNER/DENTIST)
- **Authorized official phone:** (440) 247-8641

## Contact information

- **Practice address:** 45 E WASHINGTON ST STE 301, CHAGRIN FALLS, OH 44022-3034
- **Practice address phone:** (440) 247-8641
- **Practice address fax:** (440) 247-5448
- **Mailing address:** 45 E WASHINGTON ST STE 301, CHAGRIN FALLS, OH 44022-3034
- **Mailing address phone:** (440) 247-8641
- **Mailing address fax:** (440) 247-5448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2024
- **Last updated:** 01/09/2024