Organization
HUDEC DENTAL CENTER OF MENTOR, INC.
Active
Other names
Hudec Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A HUDEC D.D.S. (OWNER/PRESIDENT)
(216) 485-5788
Entity
Organization
Contact information
Practice address
7697 MENTOR AVE, MENTOR, OH 44060-5540
(440) 530-3500
(440) 530-3429
Mailing address
3327 BROADVIEW RD, CLEVELAND, OH 44109-3360
(216) 485-5788
(216) 485-1257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-015265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3126003
—
OH
Enumeration date
03/03/2011
Last updated
10/21/2011
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