Organization
ASSOCIATES IN DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNE JUNGERMANN (OFFICE MANAGER)
(440) 899-7950
Entity
Organization
Contact information
Practice address
15711 MADISON AVE STE 104, LAKEWOOD, OH 44107-5655
(440) 899-7950
Mailing address
15711 MADISON AVE STE 104, LAKEWOOD, OH 44107-5655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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