Individual
DR. DIANE GERISE NOGALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
34900 LAKE SHORE BLVD, SUITE 101, EASTLAKE, OH 44095-2099
(440) 954-8300
(440) 954-8302
Mailing address
34900 LAKE SHORE BLVD, SUITE 101, EASTLAKE, OH 44095-2099
(440) 954-8300
(440) 954-8302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20878
OH
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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