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Organization
ST. VINCENT CHARITY MEDICAL CENTER
Active
Organization
ST. VINCENT CHARITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYRON MICKEY HOLT D.D.S. (DENTAL RESIDENT)
(865) 250-8398
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, SUITE 342W, CLEVELAND, OH 44115-3111
(316) 861-6200
(216) 363-7490
Mailing address
19425 VAN AKEN BLVD, APT. 401, SHAKER HEIGHTS, OH 44122-3547
(216) 861-6200
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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