Organization
STREEM RESNICK TETELMAN & YOUNG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN DAVID TETELMAN DDS (VICE PRESIDENT TREASURER DENTIST)
(440) 461-8200
Entity
Organization
Contact information
Practice address
29001 CEDAR ROAD, STE 660, LYNDHURST, OH 44124
(440) 461-8200
(440) 461-8343
Mailing address
29001 CEDAR ROAD, SUITE 660, LYNDHURST, OH 44124
(440) 461-8200
(440) 461-8343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12987
OH
122300000X
Dentist
14141
OH
122300000X
Dentist
Primary
16334
OH
122300000X
Dentist
20794
OH
Other
Enumeration date
11/28/2006
Last updated
12/27/2010
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