Organization
CHILDREN'S DENTAL SPECIALISTS OF LAKE COUNTY, DRS. RICHARDS AND MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANNE RICHARDS D.D.S. (PRESIDENT)
(440) 266-1740
Entity
Organization
Contact information
Practice address
8484 MARKET ST, MENTOR, OH 44060-4169
(440) 266-1740
(440) 266-1746
Mailing address
8484 MARKET ST, MENTOR, OH 44060-4169
(440) 266-1740
(440) 951-1246
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
18409
OH
1223P0221X
Pediatric Dentistry
Primary
18715
OH
Other
Enumeration date
05/21/2007
Last updated
03/14/2019
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