Individual
ROBERT A DYCMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3545 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 961-6860
(216) 961-7959
Mailing address
73 AMBROSE DR, HUDSON, OH 44236-4722
(330) 656-9810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-017651
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631721
—
OH
Enumeration date
11/28/2006
Last updated
07/08/2007
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