Organization
D2 DENTAL OF OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LABINOV (AGENT)
(708) 445-2663
Entity
Organization
Contact information
Practice address
10648 LORAIN AVE, SUITE 140, CLEVELAND, OH 44111-5411
(312) 404-3975
Mailing address
137 N OAK PARK AVE, SUITE 310, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-024110
OH
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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