Organization
LAKE COUNTY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROSENTHAL DDS (DENTIST)
(440) 352-2887
Entity
Organization
Contact information
Practice address
9500 MENTOR AVE STE 280, MENTOR, OH 44060-8715
(440) 352-2887
(440) 352-7611
Mailing address
9500 MENTOR AVE STE 280, MENTOR, OH 44060-8715
(440) 352-2887
(440) 352-7611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
020624
OH
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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