Organization
CLE ORAL & MAXILLOFACIAL SURGERY WESTLAKE - JEFFREY W. KOSMAN, D.D.S.,
Active
Organization
CLE ORAL & MAXILLOFACIAL SURGERY WESTLAKE - JEFFREY W. KOSMAN, D.D.S.,
Active
Other names
CLE Oral & Maxillofacial Surgery Westlake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W. KOSMAN D.D.S. (OWNER)
(440) 934-2626
Entity
Organization
Contact information
Practice address
28871 CENTER RIDGE RD, SUITE 104, WESTLAKE, OH 44145-5271
(440) 871-2201
(440) 871-2204
Mailing address
28871 CENTER RIDGE RD, SUITE 104, WESTLAKE, OH 44145-5271
(440) 871-2201
(440) 871-2204
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17516
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30020221
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30024394
OH
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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