Organization
MENTOR DENTAL ARTS RONALD L. MICCHIA DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MICCHIA (DENTIST/CEO)
(440) 257-3900
Entity
Organization
Contact information
Practice address
9140 LAKESHORE BLVD, MENTOR, OH 44060
(440) 257-3900
(440) 257-7070
Mailing address
9140 LAKESHORE BLVD, MENTOR, OH 44060
(440) 257-3900
(440) 257-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15919
OH
Other
Enumeration date
11/01/2006
Last updated
10/21/2014
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