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Individual

DIVYA BEKAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17117 DETROIT AVE, LAKEWOOD, OH 44107
(216) 221-0300
Mailing address
17117 DETROIT AVE, LAKEWOOD, OH 44107-3622
(216) 221-0300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025535
OH

Other

Enumeration date
04/10/2017
Last updated
09/05/2018
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