Organization
BARRY R. JAFFEDDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY R JAFFE DDS (PRESIDENT/OWNER)
(440) 845-0700
Entity
Organization
Contact information
Practice address
6285 PEARL RD, SUITE 11, PARMA HEIGHTS, OH 44130-3070
(440) 845-0700
(440) 845-9855
Mailing address
6285 PEARL RD, SUITE 11, PARMA HEIGHTS, OH 44130-3070
(440) 845-0700
(440) 845-9855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159420
—
OH
Enumeration date
06/18/2008
Last updated
06/18/2008
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