Individual
DR. THOMAS E. KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1417 MARLOWE AVE, LAKEWOOD, OH 44107-4318
(216) 221-7500
(216) 221-2430
Mailing address
1417 MARLOWE AVE, LAKEWOOD, OH 44107-4318
(216) 221-7500
(216) 221-2430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499929
—
OH
Enumeration date
03/24/2007
Last updated
07/08/2007
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