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Organization

BEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER

Active
Other names
Anastasia Theodorou DDS LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANASTASIA THEODOROU DDS (DENTIST)
(440) 250-8775
Entity
Organization

Contact information

Practice address
19111 DETROIT RD, SUITE 204, ROCKY RIVER, OH 44116-1786
(440) 356-1000
Mailing address
19111 DETROIT RD, SUITE 204, ROCKY RIVER, OH 44116-1786
(440) 356-1000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022463
OH

Other

Enumeration date
05/13/2011
Last updated
05/13/2011
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