Organization
ANDREW J DEAK & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JUSTEN DEAK MD, DMD (PRESIDENT)
(440) 667-2224
Entity
Organization
Contact information
Practice address
3730 ROCKY RIVER DR, SUITE 1, CLEVELAND, OH 44111-4044
(216) 251-8787
Mailing address
19657 HILLIARD BLVD, ROCKY RIVER, OH 44116-2926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
022343
OH
1223G0001X
General Practice Dentistry
Primary
022513
OH
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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