Organization
ANEW MEDSPA 2120 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS J MALCMACHER DDS (OWNER)
(216) 255-5201
Entity
Organization
Contact information
Practice address
2120 S GREEN RD, SOUTH EUCLID, OH 44121-3349
(216) 255-5201
Mailing address
2120 S GREEN RD, SOUTH EUCLID, OH 44121-3349
(216) 255-5201
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.016769
OH
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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