Organization
DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.
Active
Parent organization
DENTAL PROFESSIONALS CLEVELAND-LEE, INC.
Other names
brightnow dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS CLEVELAND-LEE, INC.
Authorized official
DIANE L ULICHNEY (CREDENTIALING MANAGER)
(440) 345-9068
Entity
Organization
Contact information
Practice address
9161 MENTOR AVE, MENTOR, OH 44060-6403
(440) 974-9530
(440) 974-9536
Mailing address
6315 PEARL RD STE 201, PARMA HEIGHTS, OH 44130-3074
(440) 345-9068
(440) 842-4612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2618680
—
OH
Enumeration date
01/09/2008
Last updated
05/12/2009
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