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Organization

CENTER RIDGE DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN HARRIS DDS (DENTIST)
(216) 903-1402
Entity
Organization

Contact information

Practice address
33650 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-2574
(440) 327-9006
Mailing address
551 OAKMOOR RD, BAY VILLAGE, OH 44140-2526
(216) 903-1402

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033793310
NPI
OH
Enumeration date
11/19/2024
Last updated
11/19/2024
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