Organization
DENTLIFE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUG SOO KIM (OWNER/DMD)
(440) 471-4098
Entity
Organization
Contact information
Practice address
27087 LORAIN RD, NORTH OLMSTED, OH 44070-3213
(440) 471-4098
Mailing address
27087 LORAIN RD, NORTH OLMSTED, OH 44070-3213
(440) 471-4098
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114332046
—
OH
Enumeration date
03/17/2023
Last updated
03/17/2023
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