Organization
NORTH BRIDGEVILLE DENTAL CLINIC LLC
Active
Other names
North Ridgeville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNE JUNGERMANN X (OFFICE MANAGER)
(440) 327-7950
Entity
Organization
Contact information
Practice address
34282 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039
(440) 327-7950
(440) 321-1825
Mailing address
34282 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039
(440) 327-7950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866595
—
OH
05
—
2934810
—
OH
Enumeration date
06/14/2010
Last updated
09/08/2023
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