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Organization

GREAT LAKE DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD WILLIAM BEECH D.D.S. (OWNER/DENTIST)
(440) 255-3111
Entity
Organization

Contact information

Practice address
8435 STATION ST, MENTOR, OH 44060-4924
(440) 255-3111
(440) 255-8275
Mailing address
8435 STATION ST, MENTOR, OH 44060-4924
(440) 255-3111
(440) 255-8275

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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