Organization
NORTH COAST FAMILY DENTAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK W. THOMASON (BUSINESS MANAGER)
(440) 212-4949
Entity
Organization
Contact information
Practice address
20886 DRAKE RD, STRONGSVILLE, OH 44149-5850
(440) 572-5055
(440) 572-6020
Mailing address
20886 DRAKE RD, STRONGSVILLE, OH 44149-5850
(440) 572-5055
(440) 572-6020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021111
OH
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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