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Organization
CLE OMS LAKEWOOD/ROCKY RIVER - JEFFREY W. KOSMAN DDS INC.
Active
Organization
CLE OMS LAKEWOOD/ROCKY RIVER - JEFFREY W. KOSMAN DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W. KOSMAN DDS (OWNER)
(440) 934-2626
Entity
Organization
Contact information
Practice address
15711 MADISON AVE, SUITE 104, LAKEWOOD, OH 44107-5655
(216) 228-9000
(216) 228-8280
Mailing address
15711 MADISON AVE, SUITE 104, LAKEWOOD, OH 44107-5655
(216) 228-9000
(216) 228-8280
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30020221
OH
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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