Individual
DR. OTIS CALVIN BEVEL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9500 MENTOR AVE, MENTOR, OH 44060-8713
(440) 352-2887
Mailing address
9500 MENTOR AVE, MENTOR, OH 44060-8713
(440) 352-2887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30027280
OH
Other
Enumeration date
06/26/2023
Last updated
06/28/2023
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