Individual
DR. BETHANY L DOROGHAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
8300 HOUGH AVE, CLEVELAND, OH 44103-4247
(216) 231-7700
Mailing address
6815 THORNAPPLE DR, GATES MILLS, OH 44040-9644
(440) 488-6744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023688
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089125
—
OH
Enumeration date
07/11/2012
Last updated
04/09/2017
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