Organization
DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE LYNN ULICHNEY (CREDENTIALING MANAGER)
(440) 345-9068
Entity
Organization
Contact information
Practice address
446 HOWE AVE, CUYAHOGA FALLS, OH 44221-4957
(330) 734-6179
Mailing address
6315 PEARL RD, PARMA HEIGHTS, OH 44130-3082
(440) 345-9068
(440) 842-4612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20396
OH
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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