Organization
LAKEWOOD DENTAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MARSHALL (CEO)
(216) 302-2401
Entity
Organization
Contact information
Practice address
17500 MADISON AVE, LAKEWOOD, OH 44107-3535
(216) 302-2401
Mailing address
620 BEAR RUN LN STE B, LEWIS CENTER, OH 43035-8299
(614) 706-5206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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