Organization
STEPHEN T CAROSELLO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGE CAROSELLO (OFFICE MGR)
(440) 352-2887
Entity
Organization
Contact information
Practice address
9500 MENTOR AVE, SUITE 280, MENTOR, OH 44060-8713
(440) 352-2887
(440) 352-7611
Mailing address
9500 MENTOR AVE, SUITE 280, MENTOR, OH 44060-8713
(440) 352-2887
(440) 352-7611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30014053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475481
—
OH
Enumeration date
06/18/2008
Last updated
06/18/2008
Update your record
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