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Organization

DENTISTRY AT WINBURY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY L MCCLINTOCK DDS (DDS)
(440) 543-5020
Entity
Organization

Contact information

Practice address
8401 CHAGRIN ROAD, #11, CHAGRIN FALLS, OH 44023
(440) 543-5020
(440) 543-1344
Mailing address
8401 CHAGRIN ROAD, #11, CHAGRIN FALLS, OH 44023
(440) 543-5020
(440) 543-1344

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
14532
OH
122300000X
Dentist
Primary
20655
OH
122300000X
Dentist
21256
OH

Other

Enumeration date
08/30/2006
Last updated
08/22/2020
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