Organization
BRADLEY WARREN HYLAN DMD FAIRVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA GULLATTA (MANAGER)
(330) 962-6363
Entity
Organization
Contact information
Practice address
22245 LORAIN RD, FAIRVIEW PARK, OH 44126-3315
(440) 644-8100
Mailing address
22245 LORAIN RD, FAIRVIEW PARK, OH 44126-3315
(440) 644-8100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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