Organization
CRANIOFACIAL IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK G HANS DDS, MSD (CHAIRMAN)
(216) 368-4649
Entity
Organization
Contact information
Practice address
10900 EUCLID AVE, CASE SCHOOL OF DENTAL MEDICINE - 3RD FLOOR, CLEVELAND, OH 44106-1712
(216) 368-2674
(216) 368-3204
Mailing address
10900 EUCLID AVE, CASE SCHOOL OF DENTAL MEDICINE - 3RD FLOOR, CLEVELAND, OH 44106-1712
(216) 368-2674
(216) 368-3204
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16067
OH
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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