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Organization
WEST HARBOR DENTAL PC
Active
Organization
WEST HARBOR DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUJAY RANGASWAMY DDS (OWNER/DR)
(734) 996-9966
Entity
Organization
Contact information
Practice address
304 MADISON ST, PORT CLINTON, OH 43452-1937
(419) 734-2175
(419) 734-3444
Mailing address
304 MADISON ST, PORT CLINTON, OH 43452
(419) 734-2175
(419) 734-3444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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