Organization
UNIVERSITY ORAL AND FACIAL SURGICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE BAUR DDS (PRESIDENT)
(216) 368-2538
Entity
Organization
Contact information
Practice address
2123 ABINGTON RD., 53A, CLEVELAND, OH 44106
(216) 368-2538
Mailing address
2123 ABINGTON RD., CLEVELAND, OH 44106
(216) 368-2538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30017004
OH
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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