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Organization
NORTHEAST OHIO CENTER FOR DENTAL SLEEP MEDICINE LLC
Active
Organization
NORTHEAST OHIO CENTER FOR DENTAL SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS E DESATNIK DDS (PRESIDENT)
(216) 831-1170
Entity
Organization
Contact information
Practice address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 831-1170
Mailing address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 831-1170
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
OH 30-023233
OH
Other
Enumeration date
02/25/2017
Last updated
11/28/2017
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