Organization
ST. VINCENT CHARITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYRON MICKEY HOLT D.D.S. (DENTAL RESIDENT)
(865) 250-8398
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, SUITE 342W, CLEVELAND, OH 44115-3111
(316) 861-6200
(216) 363-7490
Mailing address
19425 VAN AKEN BLVD, APT. 401, SHAKER HEIGHTS, OH 44122-3547
(216) 861-6200
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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