Organization
SPRING & SPROUT MANAL SUNNA, DDS INC.
Active
Other names
Spring & Sprout Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNAFER MARY CORRELL (REVENUE CYCLE MANAGER)
(303) 931-3949
Entity
Organization
Contact information
Practice address
15380 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4824
(440) 568-8920
Mailing address
15380 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4824
(440) 568-8920
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
06/27/2023
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