Organization
LAKEWOOD DENTAL ASSOCIATES LLC
Active
Other names
Lakewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNE JUNGERMANN (PRACTICE MANAGER)
(440) 899-7950
Entity
Organization
Contact information
Practice address
15711 MADISON AVE, LAKEWOOD, OH 44107-5655
(216) 228-7950
Mailing address
15711 MADISON AVE STE 104, LAKEWOOD, OH 44107-5655
(216) 228-7950
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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