Organization
LAKEWOOD CITY CENTER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNE JUNGERMANN (PRACTICE MANAGER)
(440) 823-3175
Entity
Organization
Contact information
Practice address
14865 DETROIT AVE, LAKEWOOD, OH 44107-3909
(216) 228-7950
Mailing address
14865 DETROIT AVE, LAKEWOOD, OH 44107-3909
(216) 228-7950
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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