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Individual

DR. DOUGLAS E DESATNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 464-9800
(216) 464-9833
Mailing address
22901 MILLCREEK BLVD, SUITE #140, BEACHWOOD, OH 44122-5728
(216) 464-9800
(216) 464-9833

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023233
OH

Other

Enumeration date
07/14/2010
Last updated
04/09/2014
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