Organization
DEAK MEDICAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE R KIRBY (OFFICE MANAGER)
(440) 366-3325
Entity
Organization
Contact information
Practice address
1212 ABBE RD N, ELYRIA, OH 44035-1600
(440) 366-3325
(440) 366-6611
Mailing address
1212 ABBE RD N, ELYRIA, OH 44035-1600
(440) 366-3325
(440) 366-6611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
11/01/2019
Last updated
12/10/2019
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