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Organization
WALTERS FAMILY DENISTRY
Active
Organization
WALTERS FAMILY DENISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TALBERT (CREDENTIALING ANALYST)
(330) 353-6425
Entity
Organization
Contact information
Practice address
3461 WARRENSVILLE CENTER RD STE 301, SHAKER HEIGHTS, OH 44122-5227
(216) 382-1102
Mailing address
3461 WARRENSVILLE CENTER RD STE 301, SHAKER HEIGHTS, OH 44122-5227
(216) 382-1102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
020238
OH
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/11/2007
Last updated
03/04/2025
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