Individual
DR. BETHANY SUE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 AVON BELDEN RD, AVON LAKE, OH 44012-2295
(440) 930-5233
(440) 930-5234
Mailing address
424 AVON BELDEN RD, AVON LAKE, OH 44012-2295
(440) 930-5233
(440) 930-5234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20747
OH
Other
Enumeration date
11/14/2006
Last updated
06/25/2009
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