Individual
IVES PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 EUCLID AVE, CLEVELAND, OH 44106-4310
(216) 721-4010
Mailing address
12201 EUCLID AVE, CLEVELAND, OH 44106-4310
(216) 721-4010
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31.015009
OH
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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