Organization
KENNETH M SIROCKY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH M SIROCKY DDS INC (GENERAL DENTIST OWNER OF PRACTICE)
(440) 238-2298
Entity
Organization
Contact information
Practice address
16360 PEARL ROAD, STRONGSVILLE, OH 44136
(440) 238-2298
(440) 846-4700
Mailing address
16360 PEARL ROAD, STRONGSVILLE, OH 44136
(440) 238-2298
(440) 846-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30015213
OH
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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