Organization
INNOVATIVE SMILES CLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE A KATES DDS (OWNER)
(216) 464-7700
Entity
Organization
Contact information
Practice address
13922 CEDAR RD, UNIVERSITY HEIGHTS, OH 44118-3204
(216) 464-7700
Mailing address
26110 EMERY RD STE 100, WARRENSVILLE HEIGHTS, OH 44128-5788
(216) 464-7700
(216) 464-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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