Individual
DR. HOWARD LANE TETALMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1450 SOM CENTER RD, MAYFIELD HTS, OH 44124-2118
(440) 442-7870
Mailing address
1450 SOM CENTER RD, MAYFIELD HTS, OH 44124-2118
(440) 442-7870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0520912
—
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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