Organization
BAINBRIDGE DENTAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE RENEE MCGRAW (OFFICE MANAGER)
(440) 543-3688
Entity
Organization
Contact information
Practice address
16775 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4519
(440) 543-3688
(440) 543-3691
Mailing address
16775 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4519
(440) 543-3688
(440) 543-3691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553851
—
OH
Enumeration date
11/13/2017
Last updated
11/13/2017
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