Organization
DEFRANCISCO DENTISTRY LLC
Active
Other names
Lifestyle Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSETTA DEFRANCISCO DMD (OWNER/DENTIST)
(216) 287-9523
Entity
Organization
Contact information
Practice address
2875 CENTER RD STE 1, BRUNSWICK, OH 44212-2319
(216) 287-9523
Mailing address
2875 CENTER RD STE 1, BRUNSWICK, OH 44212-2319
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.025340
OHIO DENTAL LICENSE
OH
Enumeration date
05/18/2021
Last updated
05/18/2021
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