Organization
WESTSIDE DENTAL SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S PAP DDS (PRESIDENT)
(216) 221-2210
Entity
Organization
Contact information
Practice address
18611 DETROIT AVE, LAKEWOOD, OH 44107-3205
(216) 221-2210
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4508862
OHIO BUSINESS LICENSE
OH
Enumeration date
08/11/2020
Last updated
08/11/2020
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