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Organization
CHAGRIN HIGHLANDS DENTAL GROUP, DOUGLAS E. DESATNIK, D.D.S., LLC
Active
Organization
CHAGRIN HIGHLANDS DENTAL GROUP, DOUGLAS E. DESATNIK, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DESATNIK DDS (PRESIDENT)
(216) 464-9800
Entity
Organization
Contact information
Practice address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 464-9800
(216) 464-9833
Mailing address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 464-9800
(216) 464-9833
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30023233
OH
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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