Organization
DENTAL GROUP OF MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAY KLINEMAN (OWNER)
(440) 352-5700
Entity
Organization
Contact information
Practice address
9571 MENTOR AVE, MENTOR, OH 44060-4521
(440) 352-5700
(440) 352-5721
Mailing address
9571 MENTOR AVE, MENTOR, OH 44060-4521
(440) 352-5700
(440) 352-5721
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30021252
OH
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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