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Organization

CHAGRIN HIGHLANDS DENTAL GROUP, DOUGLAS E. DESATNIK, D.D.S., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS DESATNIK DDS (PRESIDENT)
(216) 464-9800
Entity
Organization

Contact information

Practice address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 464-9800
(216) 464-9833
Mailing address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 464-9800
(216) 464-9833

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30023233
OH

Other

Enumeration date
01/26/2016
Last updated
01/26/2016
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