Individual
JON P KIRLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18660 BAGLEY RD, BLDG. I, STE. 304, CLEVELAND, OH 44130-3483
(440) 234-2445
(440) 234-2407
Mailing address
18660 BAGLEY RD, BLDG. I, STE. 304, CLEVELAND, OH 44130-3483
(440) 234-2445
(440) 234-2407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-02-1224
OH
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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