Organization
BUCKEYE FAMILY DENTAL PRESENTED BY DR. MANAL SUNNA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHRYN BUCKNER (CREDENTIALING MANAGER)
(216) 268-3060
Entity
Organization
Contact information
Practice address
28651 TOUCHSTONE CIR, WESTLAKE, OH 44145-4879
(216) 268-3060
Mailing address
28651 TOUCHSTONE CIR, WESTLAKE, OH 44145-4879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066021
—
OH
Enumeration date
12/28/2016
Last updated
12/28/2016
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