Organization
NORTHEAST ORAL & MAXILLOFACIAL SURGEONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD P LEWIS JR. DDS (PRESIDENT)
(216) 261-1010
Entity
Organization
Contact information
Practice address
26300 EUCLID AVE, SUITE 410, EUCLID, OH 44132-3708
(216) 261-1010
(216) 261-9442
Mailing address
26300 EUCLID AVE, SUITE 410, EUCLID, OH 44132-3708
(216) 261-1010
(216) 261-9442
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-015177
OH
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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