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Organization
CASE SCHOOL OF DENTAL MEDICINE
Active
Organization
CASE SCHOOL OF DENTAL MEDICINE
Active
Parent organization
CASE/WESTERN RESERVE UNIVERSITY
Other names
none
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASE/WESTERN RESERVE UNIVERSITY
Authorized official
DR. LISA LANG D.D.S., M.S.D. M.B.A (DIRECTOR- DEPT. OF COMPREHENSIVE CA)
(216) 368-5210
Entity
Organization
Contact information
Practice address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-5210
(216) 368-6771
Mailing address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-5210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11229
OH
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
11229
OH
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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